Kovac D
Zavod za neurokirurgiju, KB Sestre milosrdnice Zagreb.
Lijec Vjesn. 1991 May-Jun;113(5-6):158-61.
Results of the conventional lumbar disc herniation surgery are not always satisfactory, in spite of the progress made in microsurgical technique. For that reason neurosurgeons started looking for an alternative method of treatment. A combination of the percutaneous posterolateral approach, which was used in chemonucleolysis, accompanied by the development of diagnostics, surgical techniques and technology of medical instruments, are important stages in the development of automatic endoscopic percutaneous diskectomy. The aim of percutaneous diskectomy is derived from pathophysiological principles, i.e. it is based on the reduction of nucleus pulposus volume, namely on the lowering of intradiscal pressure, under the condition that the anulus fibrosus continuity has been preserved. In the past three years 132 patients have been treated with this method with the success rate of 81%. We consider this method to be the best way to the final goal which can be called the protective lumbar disc surgery.
尽管显微外科技术取得了进展，但传统腰椎间盘突出症手术的结果并不总是令人满意。因此，神经外科医生开始寻找替代治疗方法。经皮后外侧入路（用于化学髓核溶解术）与诊断技术、手术技术及医疗器械技术的发展相结合，是自动内镜经皮椎间盘切除术发展的重要阶段。经皮椎间盘切除术的目的源于病理生理原则，即在保留纤维环连续性的情况下，基于髓核体积的减少，即椎间盘内压力的降低。在过去三年中，132例患者接受了这种治疗方法，成功率为81%。我们认为这种方法是实现最终目标的最佳途径，这个最终目标可称为保护性腰椎间盘手术。
