Department of Neurological Surgery, University of Washington, Seattle, WA, USA.
Webster Orthopedics Spine Institute, Oakland, CA, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):1-7. doi: 10.1016/j.nec.2019.08.016. Epub 2019 Oct 24.
Full-endoscopic spine surgery has been developed to decrease approach-related morbidity and provide superior visualization. Using a working channel endoscope, lumbar disc herniations can be approached via two complementary corridors: the transforaminal approach and the interlaminar approach. Indications, contraindications, surgical technique, complications, and outcomes are discussed in this article. Multiple published studies have demonstrated the feasibility, safety, and efficacy of full-endoscopic lumbar discectomies. Emerging evidence suggests that full-endoscopic discectomies result in similar functional outcomes compared with microsurgical technique and are associated with shorter hospital stays, less opioid consumption, and fewer perioperative complications.
全内镜脊柱手术的发展旨在降低与入路相关的发病率,并提供更好的可视化效果。使用工作通道内镜,可以通过两种互补的通道来处理腰椎间盘突出症:经椎间孔入路和经椎板间入路。本文讨论了适应证、禁忌证、手术技术、并发症和结果。多项已发表的研究已经证明了全内镜腰椎间盘切除术的可行性、安全性和有效性。新出现的证据表明,全内镜椎间盘切除术与显微技术相比,具有相似的功能结果,并且与较短的住院时间、较少的阿片类药物消耗和较少的围手术期并发症相关。