UNASSIGNED: Full endoscopy has definitive benefits over conventional microsurgical techniques. These include better and clear vision of the pathology due to presence of irrigation fluid channel, minimal soft tissue and bone trauma, better and relatively easy approach to deep seated pathologies like thoracic disc herniations and a possibility to avoid fusion surgeries. The purpose of this article is to describe these benefits, give an overview of the two main approaches - transforaminal and interlaminar, their indications, contraindications and their limitations. The article also describes about the challenges in overcoming the learning curve and its future prospectives.
UNASSIGNED: Full endoscopic spine surgery is one of the fastest growing technique in the field of modern spine surgery. Better intraoperative visualization of the pathology, lesser incidence of complications, faster recovery time, less postoperative pain, better relief of symptoms and early return to activity are the main reasons behind this rapid growth. With better patient outcomes and reduced medical costs, the procedure is going to be more accepted, relevant and popular procedure in future.
■与传统的显微外科技术相比,全内窥镜检查具有明确的优势。这些包括由于存在冲洗液通道而对病理有更好和清晰的视野,轻微的软组织和骨创伤,更好,相对容易的方法来治疗深部病变,如胸椎间盘突出症,并有可能避免融合手术。本文的目的是描述这些好处,概述了两种主要的方法-经椎间孔和层间,他们的适应症,禁忌症及其局限性。本文还介绍了克服学习曲线的挑战及其未来前景。
■全内窥镜脊柱手术是现代脊柱外科领域发展最快的技术之一。更好的术中病理学可视化,并发症发生率较低,更快的恢复时间,术后疼痛减少,症状的更好缓解和早期恢复活动是这种快速增长背后的主要原因。通过更好的患者治疗效果和降低的医疗成本,该程序将被更多地接受,未来的相关和流行的程序。