Re:Full-Endoscopic Procedures Versus
Traditional Discectomy Surgery for Discectomy:
A Systematic Review and Meta-analysis of
Current Global Clinical Trials

Yang, Jun-Song; Zeng, Yong-Sheng; Liu, Tuan-Jiang; Hao, Dingjun

doi:10.36076/ppj/2017.7.e1123

Cited by 13 publications

(13 citation statements)

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“…Regarding the endoscopic group five were male and three females. The median age was 38.5 with a range between 23 and 54 (Table 1 & 2). The duration of symptoms were similar in both group as well as the severity of pain with a median VAS of 7 in the endoscopic and 8 in the microsurgical group.…”

Section: Methodsmentioning

confidence: 89%

“…Since the introduction of the endoscopic technique in the neurosurgical field in 1980, we have assisted to major changes with regard to the treatment of lumbar disk prolapsed with the aim to minimize as much as possible the surgical act towards a technique very minimally invasive and the least disruptive for the surrounding tissues [1][2][3]. It has been possible to achieve this goal thanks to the extraordinary technical improvement in the endoscopic field occurred in the last few years.…”

Section: Introductionmentioning

confidence: 99%

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Far Lateral Disk Prolapsed: a Preliminary Experience by Percutaneous Endoscopic Approach

Tacconi¹

2018

OAJNN

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Background:The endoscopic approach has been introduced in the clinical practice in 1980 with the aim to remove the prolapsed disk and free the compressed nerve using the least disruptive surgical technique and assuring the resolution of the symptoms and a faster return back to full life activities.Methods: We retrospectively selected 22 patients operated on for a far lateral lumbar disk prolapsed between January 2011 and December 2016. Thirteen underwent a far lateral microsurgical approach while the rest, nine, a far lateral endoscopic approach.Results: After surgery all the patients were fine with an improvement of the symptoms by Visual Analogue Scale and Oswestry Disability Index. One patient had to be operated again for persistent pain secondary to an unsatisfactory disk removal. All patients went home within four days and at a median follow up of 12 months (range between 7 and 17 months) all patients had improved and were back to a normal life. Conclusion:The endoscopic procedure is safe, effective and may become the treatment of choice for any type of lumbar disk prolapsed including also the far lateral location.

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Section: Methodsmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Far Lateral Disk Prolapsed: a Preliminary Experience by Percutaneous Endoscopic Approach

Tacconi¹

2018

OAJNN

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“…In recent years, the rapid ageing of the population and criticism of postoperative complications have continued to drive the renewal and integration of spinal surgery concepts, techniques and equipment [13].…”

Section: Discussionmentioning

confidence: 99%

Comparing the iLESSYS Delta and Endo-Surgi Plus trans-laminar approaches for single-segment disc herniation on neurological function: a randomised controlled trial

Lü

Sun

Song

et al. 2023

Preprint

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Objective Comparison of the iLESSYS Delta with the Endo-Surgi Plus for PEID treatment of L5-S1LDH on neurological function. Methods In the period from August 2021 to August 2022, 80 patients with LDH in the L5-S1 segment were treated with PEID using the iLESSYS Delta system or the Endo-Surgi Plus system in combination with INOM and cervical EP monitoring. Patients were classified into two groups based on the endoscopy system employed. Of these,37patients were included in the Delta group and 43 patients in the Plus group.Patient demographics, perioperative indicators, IONM indicators, intraoperative EP and complications were analysed.Clinical outcomes were quantified using back and leg visual analog scale(VAS) scores, Oswestry Disability Index(ODI) and Japanese orthopaedic association(JOA) scores at the time points of follow-up.Patient satisfaction was assessed at the final follow-up according to the modified MacNab criteria. Results In the Plus group, the duration of surgery and the number of arthroplasties were less than those in the Delta group, with a statistically significant difference (p < 0.05). The rates of abnormal IONM indicators,cervical EP at the end of surgery and maximum intraoperative EP in the Plus group were less than those in the Delta group, with a statistically significant difference (p < 0.001). Compared to the preoperative period, the VAS score, ODI and JOA scores improved in both groups at all follow-up time points, and the difference was statistically significant (p < 0.001); The differences in pain VAS scores, ODI and JOA scores were not statistically significant when comparing the two groups (p > 0.05). Conclusion Both the iLESSYS Delta and Endo-Surgi Plus surgical systems achieve satisfactory early clinical results in the treatment of LDH with the Endo-Surgi Plus surgical shaping being more efficient, with less intraoperative impact on neurological function and safer.

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“…Transforaminal endoscopic lumbar discectomy (TELD) has been developed since Kambin and Sampson [16] and Hijikata [17] reported a percutaneous discectomy technique through a posterolateral approach. The effectiveness of the current TELD for soft LDH has been proven by previous studies [18–25] . This technique's most peculiar theoretical benefit is that it can directly and percutaneously approach the disc pathologies through a foraminal window while preserving the normal neuromuscular structures.…”

Section: Introductionmentioning

confidence: 92%

“…The effectiveness of the current TELD for soft LDH has been proven by previous studies. [18][19][20][21][22][23][24][25] This technique's most peculiar theoretical benefit is that it can directly and percutaneously approach the disc pathologies through a foraminal window while preserving the normal neuromuscular structures.…”

Section: Introductionmentioning

confidence: 99%

The irony of the transforaminal approach

Ahn

Yoo²,

Jung³

2021

Medicine

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Transforaminal endoscopic lumbar discectomy (TELD) is useful for soft lumbar disc herniation (LDH). Although the transforaminal approach can reach the foraminal disc zone, the risk of exiting nerve root irritation along the path is considerable. Few studies have assessed the difficulties of TELD for foraminal LDH. The objective of this study is to compare the clinical results of TELD between foraminal or far-lateral LDH and paramedian LDH. Between June 2016 and July 2017, 135 consecutive patients with single-level LDH were treated with TELD for 2 years. Among them, 25 patients had foraminal or far-lateral LDH (foraminal group), and the remaining 110 patients had central or subarticular LDH (paramedian group). Perioperative data and clinical outcomes were evaluated using the visual analog pain scale, Oswestry Disability Index, and modified Macnab criteria. The foraminal group showed a higher rate of significant access pain (24.00% vs 8.19%, P < .05). The foraminal group also had a longer duration of surgery, length of hospital stay, and return to work (all P < .05). Pain scores and functional status were significantly improved in both groups. Although there were no differences in the outcomes at 2 years postoperatively, early pain and disability at 6 weeks were higher in the foraminal group. Ironically, the early clinical results of TELD for foraminal LDH may be less favorable than those for paramedian LDH. Therefore, great care should be taken during TELD for foraminal or far-lateral LDH.

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Re:Full-Endoscopic Procedures Versus Traditional Discectomy Surgery for Discectomy: A Systematic Review and Meta-analysis of Current Global Clinical Trials

Cited by 13 publications

References 0 publications

Far Lateral Disk Prolapsed: a Preliminary Experience by Percutaneous Endoscopic Approach

Far Lateral Disk Prolapsed: a Preliminary Experience by Percutaneous Endoscopic Approach

Comparing the iLESSYS Delta and Endo-Surgi Plus trans-laminar approaches for single-segment disc herniation on neurological function: a randomised controlled trial

The irony of the transforaminal approach

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