使用椎间孔内镜脊柱系统技术的经椎间孔经皮内镜下椎间盘切除术：初学者应避免的陷阱。
Transforaminal Percutaneous Endoscopic Discectomy using Transforaminal Endoscopic Spine System technique: Pitfalls that a beginner should avoid.
作者信息
Kapetanakis Stylianos, Gkasdaris Grigorios, Angoules Antonios G, Givissis Panagiotis
机构信息
Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki 55535, Greece.
Department of Medical Laboratories, Technological Educational Institute of Athens, Athens 12243, Greece.
出版信息
World J Orthop. 2017 Dec 18;8(12):874-880. doi: 10.5312/wjo.v8.i12.874.
Abstract
Transforaminal Percutaneous Endoscopic Discectomy (TPED) is a minimally invasive technique mainly used for the treatment of lumbar disc herniation from a lateral approach. Performed under local anesthesia, TPED has been proven to be a safe and effective technique which has been also associated with shorter rehabilitation period, reduced blood loss, trauma, and scar tissue compared to conventional procedures. However, the procedure should be performed by a spine surgeon experienced in the specific technique and capable of recognizing or avoiding various challenging conditions. In this review, pitfalls that a novice surgeon has to be mindful of, are reported and analyzed.
摘要
经椎间孔入路经皮内镜下椎间盘切除术（TPED）是一种主要用于从侧方入路治疗腰椎间盘突出症的微创技术。TPED在局部麻醉下进行，已被证明是一种安全有效的技术，与传统手术相比，它还具有康复期短、失血少、创伤小和瘢痕组织少的特点。然而，该手术应由精通该特定技术且能够识别或避免各种具有挑战性情况的脊柱外科医生进行。在本综述中，报告并分析了新手外科医生必须注意的陷阱。
相似文献
1
Transforaminal Percutaneous Endoscopic Discectomy using Transforaminal Endoscopic Spine System technique: Pitfalls that a beginner should avoid.
World J Orthop. 2017 Dec 18;8(12):874-880. doi: 10.5312/wjo.v8.i12.874.
2
Percutaneous transforaminal endoscopic discectomy compared with microendoscopic discectomy for lumbar disc herniation: 1-year results of an ongoing randomized controlled trial.
J Neurosurg Spine. 2018 Mar;28(3):300-310. doi: 10.3171/2017.7.SPINE161434. Epub 2018 Jan 5.
3
The Evolution and Advancement of Endoscopic Foraminal Surgery: One Surgeon's Experience Incorporating Adjunctive Techologies.
SAS J. 2007 Aug 1;1(3):108-17. doi: 10.1016/SASJ-2006-0014-RR. eCollection 2007.
4
Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation.
Clin Spine Surg. 2016 Nov;29(9):368-371. doi: 10.1097/BSD.0000000000000366.
5
Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations-Operative Technique.
World Neurosurg. 2019 Oct;130:244-253. doi: 10.1016/j.wneu.2019.07.005. Epub 2019 Jul 9.
6
[Percutaneous transforaminal endoscopic discectomy via lateral position assisted with local anesthesia for lumbar disc herniation in elder with systemic diseases].
Zhongguo Gu Shang. 2018 Nov 25;31(11):1065-1068. doi: 10.3969/j.issn.1003-0034.2018.11.016.
7
Recurrent upper lumbar disc herniation treated via the transforaminal approach using microendoscopy-assisted lumbar discectomy: a case report.
J Med Case Rep. 2018 Apr 27;12(1):110. doi: 10.1186/s13256-018-1653-8.
8
Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation: floating retraction technique.
Minim Invasive Neurosurg. 2011 Oct;54(5-6):214-8. doi: 10.1055/s-0031-1287774. Epub 2012 Jan 27.
9
Effectiveness of Bi-Needle Technique (Hybrid Yeung Endoscopic Spine System/Transforaminal Endoscopic Spine System) for Percutaneous Endoscopic Lumbar Discectomy.
World Neurosurg. 2018 Nov;119:e53-e59. doi: 10.1016/j.wneu.2018.06.220. Epub 2018 Jul 6.
10
Postoperative seizure following transforaminal percutaneous endoscopic lumbar discectomy.
Asian J Neurosurg. 2016 Oct-Dec;11(4):450. doi: 10.4103/1793-5482.145119.
引用本文的文献
1
Intraoperative Fluoroscopic Verification of Satisfactory Foraminotomy in Posterior Open Decompression Surgery for Lumbar Foraminal Stenosis: A Clinical Image.
Clin Case Rep. 2025 Feb 17;13(2):e70231. doi: 10.1002/ccr3.70231. eCollection 2025 Feb.
2
Lumbar percutaneous transforaminal endoscopic discectomy: a retrospective survey on the first 172 adult patients treated in Denmark.
Acta Neurochir (Wien). 2024 Mar 27;166(1):155. doi: 10.1007/s00701-024-06038-6.
3
Transforaminal endoscopic lumbar discectomy: learning curve of a single surgeon.
J Spine Surg. 2023 Jun 30;9(2):159-165. doi: 10.21037/jss-22-54. Epub 2023 Apr 13.
4
Impact of Body Weight, Height, and Obesity on Selection of Skin Entry Point for Transforaminal Endoscopic Lumbar Discectomy.
Asian J Neurosurg. 2022 Aug 24;17(2):262-267. doi: 10.1055/s-0042-1751005. eCollection 2022 Jun.
5
Puncture and localization for percutaneous endoscopic lumbar discectomy with C-arm navigation: a randomized controlled cadaver trial.
Ann Transl Med. 2021 Dec;9(23):1730. doi: 10.21037/atm-21-5844.
6
The biomechanical effect on the adjacent L4/L5 segment of S1 superior facet arthroplasty: a finite element analysis for the male spine.
J Orthop Surg Res. 2021 Jun 17;16(1):391. doi: 10.1186/s13018-021-02540-0.
7
Cadaveric anatomy of the lumbar triangular safe zone of Kambin's in North West Indian population.
Anat Cell Biol. 2021 Mar 31;54(1):35-41. doi: 10.5115/acb.20.243.
8
Effect of Percutaneous Endoscopic Lumbar Foraminoplasty of Different Facet Joint Portions on Lumbar Biomechanics: A Finite Element Analysis.
Orthop Surg. 2020 Aug;12(4):1277-1284. doi: 10.1111/os.12740. Epub 2020 Jul 8.
9
A review of discogenic pain management by interventional techniques.
J Craniovertebr Junction Spine. 2020 Jan-Mar;11(1):4-8. doi: 10.4103/jcvjs.JCVJS_19_20. Epub 2020 Apr 4.
10
The biomechanical effects of foraminoplasty of different areas under lumbar percutaneous endoscopy on intervertebral discs: A 3D finite element analysis.
Medicine (Baltimore). 2020 Apr;99(17):e19847. doi: 10.1097/MD.0000000000019847.
本文引用的文献
1
Anatomical considerations of the iliac crest on percutaneous endoscopic discectomy using a transforaminal approach.
Spine J. 2017 Dec;17(12):1875-1880. doi: 10.1016/j.spinee.2017.06.012. Epub 2017 Jun 20.
2
Application of transiliac approach to intervertebral endoscopic discectomy in L5/S1 intervertebral disc herniation.
Eur J Med Res. 2017 Apr 4;22(1):14. doi: 10.1186/s40001-017-0254-0.
3
Health-related quality of life after transforaminal percutaneous endoscopic discectomy: An analysis according to the level of operation.
J Craniovertebr Junction Spine. 2017 Jan-Mar;8(1):44-49. doi: 10.4103/0974-8237.199872.
4
Lumbar Scoliosis Combined Lumbar Spinal Stenosis and Herniation Diagnosed Patient Was Treated with "U" Route Transforaminal Percutaneous Endoscopic Lumbar Discectomy.
Case Rep Orthop. 2017;2017:7439016. doi: 10.1155/2017/7439016. Epub 2017 Jan 19.
5
Clinical anatomy and significance of the thoracic intervertebral foramen: A cadaveric study and review of the literature.
J Craniovertebr Junction Spine. 2016 Oct-Dec;7(4):228-235. doi: 10.4103/0974-8237.193266.
6
Transforaminal Percutaneous Endoscopic Discectomy in Parkinson Disease: Preliminary Results and Short Review of the Literature.
Korean J Spine. 2016 Sep;13(3):144-150. doi: 10.14245/kjs.2016.13.3.144. Epub 2016 Sep 30.
7
Transforaminal Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation in Parkinson's Disease: A Case-Control Study.
Asian Spine J. 2016 Aug;10(4):671-7. doi: 10.4184/asj.2016.10.4.671. Epub 2016 Aug 16.
8
Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Disc Herniation Via an Interlaminar Approach Versus a Transforaminal Approach: A Prospective Randomized Controlled Study With 2-Year Follow Up.
Spine (Phila Pa 1976). 2016 Oct;41 Suppl 19:B30-B37. doi: 10.1097/BRS.0000000000001810.
9
Transforaminal full-endoscopic lumbar discectomy in obese patients.
Int J Spine Surg. 2016 May 4;10:18. doi: 10.14444/3018. eCollection 2016.
10
Evaluation of Transforaminal Endoscopic Discectomy in Treatment of Obese Patients with Lumbar Disc Herniation.
Med Sci Monit. 2016 Jul 18;22:2513-9. doi: 10.12659/msm.899510.
Zotero 插件