State of the Art: Transforaminal Approach for Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

Koichi Sairyo; Hiroshi Egawa; Tetsuya Matsuura; Mitsuhiko Takahashi; Kosaku Higashino; Toshinori Sakai; Naoto Suzue; Daisuke Hamada; Tomohiro Goto; Yoichiro Takata; Toshihiko Nishisho; Yuichiro Goda; Ryosuke Sato; Takahiko Tsutsui; Ichiro Tonogai; Kenji Kondo; Fumitake Tezuka; Kazuaki Mineta; Kosuke Sugiura; Makoto Takeuchi; Akira Dezawa

doi:10.2152/jmi.61.217

Reviews

State of the Art: Transforaminal Approach for Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

Koichi Sairyo, Hiroshi Egawa, Tetsuya Matsuura, Mitsuhiko Takahashi, Kosaku Higashino, Toshinori Sakai, Naoto Suzue, Daisuke Hamada, Tomohiro Goto, Yoichiro Takata, Toshihiko Nishisho, Yuichiro Goda, Ryosuke Sato, Takahiko Tsutsui, Ichiro Tonogai, Kenji Kondo, Fumitake Tezuka, Kazuaki Mineta, Kosuke Sugiura, Makoto Takeuchi, Akira Dezawa

Author information

Koichi Sairyo
Department of Orthopedics, the University of Tokushima
Hiroshi Egawa
Department of Orthopedics, the University of Tokushima
Tetsuya Matsuura
Department of Orthopedics, the University of Tokushima
Mitsuhiko Takahashi
Department of Orthopedics, the University of Tokushima
Kosaku Higashino
Department of Orthopedics, the University of Tokushima
Toshinori Sakai
Department of Orthopedics, the University of Tokushima
Naoto Suzue
Department of Orthopedics, the University of Tokushima
Daisuke Hamada
Department of Orthopedics, the University of Tokushima
Tomohiro Goto
Department of Orthopedics, the University of Tokushima
Yoichiro Takata
Department of Orthopedics, the University of Tokushima
Toshihiko Nishisho
Department of Orthopedics, the University of Tokushima
Yuichiro Goda
Department of Orthopedics, the University of Tokushima
Ryosuke Sato
Department of Orthopedics, the University of Tokushima
Takahiko Tsutsui
Department of Orthopedics, the University of Tokushima
Ichiro Tonogai
Department of Orthopedics, the University of Tokushima
Kenji Kondo
Department of Orthopedics, the University of Tokushima
Fumitake Tezuka
Department of Orthopedics, the University of Tokushima
Kazuaki Mineta
Department of Orthopedics, the University of Tokushima
Kosuke Sugiura
Department of Orthopedics, the University of Tokushima
Makoto Takeuchi
Department of Orthopedics, the University of Tokushima
Akira Dezawa
Department of Orthopedic Surgery, Teikyo University Mizonokuchi Hospital

Keywords: Herniated nucleous pulposus, lumbar spine, surgery, percutaneous endoscopic discectomy, local anesthesia

JOURNAL FREE ACCESS

2014 Volume 61 Issue 3.4 Pages 217-225

DOI https://doi.org/10.2152/jmi.61.217

Details

Abstract

Minimally invasive percutaneous endoscopic discectomy (PED) with a transforaminal approach under local anesthesia was started in the late 20th century. As the procedure requires a skin incision of only 8 mm, it is the least invasive disc surgery procedure at present, and owing to advances in instruments and optics, the use of this technique has gradually spread. In Japan, Dr. Dezawa from Teikyo University Mizonokuchi Hospital introduced this technique in 2003. Thanks to his efforts, the number of surgeons who can perform PED has increased, although the number of active PED surgeons is still only around 20. The first author (K.S.) started PED in 2010. In this review article, we explain the state-of-the-art PED transforaminal technique for minimally invasive disc surgery and present three successful cases. J. Med. Invest. 61: 217-225, August, 2014

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