Percutaneous endoscopic lumbar discectomy for lumbar disc herniation

@article{Li2016PercutaneousEL,
  title={Percutaneous endoscopic lumbar discectomy for lumbar disc herniation},
  author={Xinhua Li and Yingchao Han and Zhi Di and Jian Cui and Jie Pan and Ming-jie Yang and Guixin Sun and Jun Tan and Lijun Li},
  journal={Journal of Clinical Neuroscience},
  year={2016},
  volume={33},
  pages={19-27}
}
Percutaneous Endoscopic Lumbar Discectomy for Recurrent Lumbar Disc Herniation: An Updated Systematic Review and Meta-Analysis
TLDR
Endoscopic and conventional discectomy reduced patient pain comparably, but endoscopic discctomy had significantly lower operation time and lower risk in complications, which may impact other outcomes such as recovery and healthcare costs.
Comparison of percutaneous endoscopic lumbar discectomy versus microendoscopic discectomy for the treatment of lumbar disc herniation: a meta-analysis
TLDR
Whether PELD is more superior to MED for the treatment of lumbar disc herniation is clarified, and the PELD group showed significantly better results with regard to shorter length of incision and shorter post-operative hospital stay.
Meta-analysis of percutaneous transforaminal endoscopic discectomy vs. fenestration discectomy in the treatment of lumbar disc herniation
TLDR
Findings provide evidence to support PTED is efficacious for LDH; however, scar repair of a ruptured anulus fibrosus needs a long time and the patients undergoing PTED should be advised to stay in bed for a long period of time even if the symptoms are markedly relieved.
Prevalence of Recurrent Herniation Following Percutaneous Endoscopic Lumbar Discectomy: A Meta-Analysis.
TLDR
The overall prevalence of recurrent herniation after percutaneous endoscopic lumbar discectomy was 3.6% and individuals with older age and higher BMI had increased recurrence rates after PELD, which could be useful in preoperative evaluation, appropriate patient selection and informed consent before PELD.
Percutaneous endoscopic lumbar discectomy for lumbar disc herniation as day surgery – short-term clinical results of 235 consecutive cases
TLDR
PELD is safe and effective for the treatment of LDH and can reduce medical costs as day surgery, and it thus warrants increased attention.
Transforaminal approach versus interlaminar approach
TLDR
Dural tear was significantly less occured in PTED compared with PIED and the postoperative dysesthesia, nerve root injury, surgical site wound complications, recurrence, conversion to open surgery, incomplete decompression, and total complication did not differ significantly between PTED and PIED in the treatment of lumbar disc herniation.
Outcomes of endoscopic discectomy compared with open microdiscectomy and tubular microdiscectomy for lumbar disc herniations: a meta-analysis.
TLDR
Outcomes of TM and OM for lumbar disc herniations are largely equivalent, and several clinical variables were significantly improved in patients undergoing ED when compared with OM, although the magnitude of many of these differences was small and of uncertain clinical relevance.
The efficacy of bilateral intervertebral foramen block for pain management in percutaneous endoscopic lumbar discectomy
TLDR
This investigation can offer a reliable basis for the effectiveness and safety of IFB in treating the PELD pain and will be implemented from September 2020 to September 2021.
Minimal laminectomy using the interlaminar approach for percutaneous endoscopic lumbar discectomy
TLDR
Minimal laminectomy using the interlaminar approach (ILA) for PELD is feasible for treating LDH with the narrow space and highly migrated LDH.
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References

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A meta-analysis of endoscopic discectomy versus open discectomy for symptomatic lumbar disk herniation
TLDR
From the existing outcomes, ED surgery could be viewed as a sufficient and safe supplementation and alternative to standard open discectomy and the cost-effectiveness analyses still remain unproved from the existing data.
Learning curve for percutaneous endoscopic lumbar discectomy.
TLDR
The PELD learning curve seems to be stable and acceptable with proper pre-PELD training, and no significant differences were observed in terms of either the clinical success rate or the reherniation rate at 1 year after surgery.
Percutaneous endoscopic lumbar discectomy (PELD)
TLDR
The performance in local anesthesia, the atraumatic extraspinal approach, the reduced time of hospitalization and post-operative morbidity as well as the reduction time of work incapability are the main advantages of this new method.
Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature
TLDR
Current evidence on the effectiveness of transforaminal endoscopic surgery is poor and does not provide valid information to either support or refute using this type of surgery in patients with symptomatic lumbar disc herniations.
Comparative radiologic evaluation of percutaneous endoscopic lumbar discectomy and open microdiscectomy: a matched cohort analysis.
TLDR
Although the clinical outcomes were similarly satisfactory in both groups, PELD is a less invasive procedure than open microdiscectomy in s elected cases.
Unsuccessful percutaneous endoscopic lumbar discectomy: a single-center experience of 10,228 cases.
TLDR
Proper surgical indications and good working channel position are important for successful PELD techniques, which should be specifically designed to remove the disc fragments in various types of HD.
Posterolateral Endoscopic Excision for Lumbar Disc Herniation: Surgical Technique, Outcome, and Complications in 307 Consecutive Cases
TLDR
The surgical outcome of posterolateral endoscopic discectomy for lumbar disc herniation is comparable with that for the traditional open transcanal microdisceCTomy and intracanal and extracanals herniations, reherniations, and incidental lateral recess stenosis can be addressed by the same approach.
Percutaneous endoscopic discectomy: surgical technique and preliminary results compared to microsurgical discectomy.
TLDR
Percutaneous endoscopic discectomy appears to offer an alternative to microdisceCTomy for patients with "contained" and small subligamentous lumbar disc herniations.
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