Marcio R.R. Cunha Ramalho
Senior Instructor The Clinic Trauma Center, Brazil
Title: Lumbar Angiolipoma Removal Via Percutaneos Endoscopic Interlaminar Approach
Biography
Biography: Marcio R.R. Cunha Ramalho
Abstract
Percutaneous endoscopic technique has been used to treat disk herniation and spinal stenosis ( 5,8,10 ), so far we have very few reports to treat benign spinal tumors under this minimally invasive treatment( 3 , 5 ) . We would like to present a single case of lumbar epidural angiolipoma removed using full endoscopic interlaminar approach as a safe and effective option to treat benign extra dural spinal tumor .We describe a 54 year-old man with a 3-month history of a progressively worsening low back pain without any other neurological signs.A magnetic ressonance demonstrated a dorsally located L1-L2 epidural lesion . We've performed a total removed under the basic steps of the Interlaminar approach . After opening the ligamentun flavum , the tumor was totally removed piecemeal under endoscopic guidance , The procedure lasted less than three hours with no support in intensive care unit and pathological examination confirmed extradural lumbar angiolipoma .he had a hospital discharge less than twelve hours after the surgical procedure with no neurological signs and using minor pain killer to control the back pain .E ven though we don´t have so much papers about this surgical practice, we think that is a feasible treatment and for sure we need more adapted endoscopic tools to accelerate the surgical time .