Warren Alpert School of Medicine of Brown University, 222 Richmond Street, Providence, RI 02903, USA.
Department of Neurosurgery, CHR Citadelle, Bd du 12eme de Ligne, 1, 4000 Liege, Belgium.
Biomed Res Int. 2022 Aug 29;2022:8419739. doi: 10.1155/2022/8419739. eCollection 2022.
Endoscopic spine surgery (ESS) advances the principles of minimally invasive surgery, including minor collateral tissue damage, reduced blood loss, and faster recovery times. ESS allows for direct access to the spine through small incisions and direct visualization of spinal pathology via an endoscope. While this technique has many applications, there is a steep learning curve when adopting ESS into a surgeon's practice. Two types of navigation, optical and electromagnetic, may allow for widespread utilization of ESS by engendering improved orientation to surgical anatomy and reduced complication rates. The present review discusses these two available navigation technologies and their application in endoscopic procedures by providing case examples. Furthermore, we report on the future directions of navigation within the discipline of ESS.
内镜脊柱外科 (ESS) 推进了微创外科的原则，包括轻微的附带组织损伤、减少失血和更快的恢复时间。ESS 通过小切口直接进入脊柱，并通过内窥镜直接观察脊柱病变。虽然该技术有许多应用，但在外科医生的实践中采用 ESS 存在陡峭的学习曲线。光学和电磁两种导航方式可以通过改善对手术解剖结构的定位和降低并发症发生率来广泛应用 ESS。本综述通过提供案例示例讨论了这两种可用的导航技术及其在内镜手术中的应用。此外，我们还报告了 ESS 领域内导航的未来发展方向。
