Prof. Dr. Erkan Kaptanoğlu

Minimally Invasive Surgery in the Spine

Minimally invasive surgery generally refers to a surgical procedure with a small opening instead of a large surgical incision and opening. In this way, we expect faster recovery and less postoperative pain compared to conventional open surgery. Minimally invasive robotic surgery can be used for procedures such as general surgery, gynecology, urology and heart surgery. Small incisions, less pain, low risk of infection, short hospitalization, quick recovery and less blood loss are aimed. In addition, endoscopic surgery has been performed in general surgery as laparoscopic surgery in the abdomen, thoracoscopic surgery in the chest or keyhole surgery. These minimally invasive methods use endoscopes with cameras that enter through a small incision to access internal organs. The goals are small incisions, less pain, low risk of infection, short hospitalization, quick recovery and less blood loss.

Endoscopic surgery

Endoscopes are small tubes. They usually contain cameras that allow us to see the surgical field and surgical instruments that allow us to perform the surgery. With these advanced instruments, the cavities of the brain can be entered through a small incision and the structures inside can be observed. Surgical instruments can cut tissue, take samples and destroy abnormal tissue or tumors with little damage to the normal brain. Endoscopes can be used in spine and spinal cord diseases such as cervical disc disease and lumbar disc disease. Thoracoscopic discectomy can be performed for thoracic disc disease (herniated disc) and tumors and infections of the dorsal vertebrae. Here, an endoscope called a thoracoscope is inserted into the thorax to perform the surgery. In the case of lung tumors involving the spine, both the affected spine and the affected lung can be removed in the same session using minimally invasive methods. In addition, narrow canal disease and some spinal cord tumors can be operated with minimally invasive methods.

Percutaneous instrumentation

Percutaneous instrumentation can be performed in patients who have spinal instability but do not require opening of the skin. Here, screws can be inserted through one centimeter incisions in the skin and stabilization can be performed in the operating room under the guidance of scopy (rontgen).

Scoliosis surgeries

In scoliosis surgeries performed with recently developed threaded systems, the thorax can be entered into the chest (thorax) with a thoracoscope and screws can be placed with minimally invasive methods and scoliosis correction can be achieved with threads.

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