In this video from the Open Operating Theatre, Yann Philippe Charles, MD, from University Hospital in Strasbourg, France, discusses how to perform a mini open tumor resection and percutaneous instrumentation for renal cell carcinoma.
Preoperatively, a tumor embolization was performed. Surgeons then placed the patient in the prone position without abdominal compression to limit venous bleeding. Pedicles T7, T9, T12 and L1 were marked for percutaneous screw and rod placement. The screws were inserted and locked on the rod on the right side of the midline to stabilize the spine. To perform spinal cord decompression, a paravertebral incision was made at T10-T11 to prepare for the laminectomy.
The tumor mass was removed, and the anterior part of spinal cord was decompressed. Resection of the tumor mass was performed. The vertebral body was filled with polymethylmethacrylate combined with hemostatic gauze to avoid cement leakage around the spinal cord. The second rod was placed on the left side and the wound was closed.
This video is a teaching tool to help surgeons prepare for surgery or they can use it as a refresher on the surgical technique and indications for this surgery.