Learning curve of full-endoscopic lumbar discectomy

Hsu, Hsien-Ta; Chang, Shang‐Jen; Yang, Stephen Shei‐Dei; Chai, Chung Liang

doi:10.1007/s00586-012-2540-4

Cited by 219 publications

(173 citation statements)

References 24 publications

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“…In this series, L5/S1 disc access was facilitated by careful patient positioning using a 'broken' operating table and no patient required intra-operative conversion to Micro. Transforaminal endoscopic surgery is associated with a significant learning curve [28]. All five revisions in the TED arm of the trial were within the first two-thirds of the study.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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Purpose Transforaminal endoscopic discectomy (TED) minimises paraspinal muscle damage. The aim of this trial was to compare clinical outcomes of TED to Microdiscectomy (Micro). Methods 143 patients, age 25-70 years and \115 kg, with single level lumbar prolapse and radiculopathy, were recruited and randomised. 70 received TED under conscious sedation and 70 Micro under general anaesthesia. Oswestry Disability Index (ODI), visual analogue scores (VAS) of back and leg pain, and Short Form Health Survey indices (SF-36) were measured preoperatively and at 3, 12 and 24 months. Results All outcome measures improved significantly in both groups (p \ 0.001). Affected side leg pain was lower in the TED group at 2 years (1.9 ± 2.6 vs 3.5 ± 3.1, p = 0.002). Hospital stay was shorter following TED (0.7 ± 0.7 vs 1.4 ± 1.3 days, p \ 0.001). Two Micro patients and five TED patients required revision giving a relative risk of revision for TED of 2.62 (95% CI 0.49-14.0). Conclusions Functional improvements were maintained at 2 years in both groups with less ongoing sciatica after TED. A greater revision rate after TED was offset by a more rapid recovery.

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Section: Discussionmentioning

confidence: 99%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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“…These approaches are associated with less soft tissue and bony trauma, lower acute care charges, decreased hospital length of stay, but also with a higher learning curve [75,76]. As such, the outcomes of these procedures are increasingly reported.…”

Section: Minimally Invasive Surgerymentioning

confidence: 99%

Lumbar Disc Herniation

Amin

Andrade

Neuman³

2017

Curr Rev Musculoskelet Med

243

202

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Purpose of Review Substantial advancements have been made in the cause, diagnosis, imaging, and treatment options available for patients with lumbar disc herniation (LDH). We examined the current evidence and highlight the concepts on the frontline of discovery in LDH. Recent Findings There are a myriad of novel etiologies of LDH detailed in recent literature including inflammatory factors and infectious microbes. In the clinical setting, recent data focuses on improvements in computer tomography as a diagnostic tool and non-traditional injection options including tumor necrosis alpha inhibitors and platelet-rich plasma. Operative treatment outcomes have focused on minimally invasive endoscopic approaches and demonstrated robust 5-year post-operative outcomes. Summary Advances in the molecular etiology of LDH will continue to drive novel treatment options. The role of endoscopic treatment for LDH will continue to evolve. Further research into10-year outcomes will be necessary as this surgical approach continues to gain widespread popularity.

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“…Among the techniques, the transforaminal is the most accessible at the beginning stages of learning the endoscopic procedures. 25 Initial training in the minimally invasive endoscopic techniques is practiced on cadavers and, later, in patients, always supervised and with all the safeguards necessary for the execution of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Lumbar Endoscopic Percutaneous Discectomy - Clinical Outcome. Prospective Study

Sebben

Graells

Benato³

et al. 2017

Coluna/Columna

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Objective: Lumbar disc herniation is a common indication for surgical treatment of the spine. Open microdiscectomy is the gold standard. New surgical techniques have emerged, such as spinal endoscopy. We compared and evaluated two endoscopic techniques: the transforaminal and the interlaminar. Methods: Fifty-five patients underwent endoscopic technique and were assessed by VAS and ODI in the preoperative period, and in the first and sixth month after the procedure. Results: We had 89.1% of good results and 10.9% of complications. Conclusion: We conclude that endoscopic techniques are safe and effective for the surgical treatment of lumbar disc herniation.Keywords: Spine; Intervertebral disc displacement; Endoscopy. RESUMO Objetivo: A hérnia discal lombar é uma indicação comum de tratamento cirúrgico da coluna vertebral. A microdiscectomia aberta é o padrão de referência. Novas técnicas cirúrgicas têm surgido, como a endoscopia de coluna vertebral. Comparamos e avaliamos duas técnicas endos

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Learning curve of full-endoscopic lumbar discectomy

Cited by 219 publications

References 24 publications

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

Lumbar Disc Herniation

Lumbar Endoscopic Percutaneous Discectomy - Clinical Outcome. Prospective Study

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