Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea.
Int Orthop. 2019 Apr;43(4):909-916. doi: 10.1007/s00264-018-04283-w. Epub 2019 Jan 5.
Percutaneous endoscopic discectomy is an effective minimally invasive spine surgery (MISS) for soft disc herniations. The objective of this review was to describe the current indications, surgical techniques, and clinical outcomes of endoscopic spine surgery.
A narrative review was performed with a focus on surgical indication of percutaneous endoscopic discectomy and the clinical outcomes in lumbar and cervical spine. Percutaneous endoscopic or full-endoscopic discectomy using a working channel endoscope was described.
The basic principles, surgical techniques, and clinical outcomes in lumbar and cervical disc herniations were demonstrated. For the lumbar disc herniation (LDH), transforaminal and interlaminar approaches were reviewed, whereas for the cervical disc herniation (CDH), anterior and posterior approaches were reviewed.
Endoscopic spine surgery for soft disc herniation can be effective with benefits of minimal tissue trauma in properly selected cases. Given the recent technical advancements, the surgical indications for endoscopic spine surgery are still expanding and the clinical results have become more practical and reliable.
经皮内镜椎间盘切除术是一种治疗软性椎间盘突出症的有效微创脊柱手术（MISS）。本综述的目的是描述内镜脊柱手术的当前适应证、手术技术和临床结果。
进行了叙述性综述，重点介绍了经皮内镜椎间盘切除术的手术适应证以及腰椎和颈椎的临床结果。描述了使用工作通道内镜的经皮内镜或全内镜椎间盘切除术。
展示了腰椎间盘突出症（LDH）和颈椎间盘突出症（CDH）的基本原理、手术技术和临床结果。对于腰椎间盘突出症，回顾了经椎间孔和经椎间孔入路，而对于颈椎间盘突出症，回顾了前路和后路入路。
在适当选择的病例中，软性椎间盘突出症的内镜脊柱手术可以有效，且组织创伤最小。鉴于最近的技术进步，内镜脊柱手术的手术适应证仍在不断扩大，临床结果也变得更加实用和可靠。
