OBJECTIVE: Unilateral Biportal Endoscopy (UBE) is a minimally invasive surgery that is gaining recognition and being employed in clinical practice. Nevertheless, the precise method for determining UBE portals\' location varies depending on the originator\'s preferences or the anatomical structure\'s proximity to the portal positions. Consequently, the relationship among UBE portals\' locations is messy. This study aims to elaborate on the specific portal localization and explore the positional association and commonality among different UBE approaches\' portals.
METHODS: The following keywords are used to search in the PubMed, Ovid, Web of Science, ScienceDirect, SpringerLink, Scopus, CNKI, and Wanfang database: \"Biportal endoscopic spinal surgery\", \"Two portal endoscopic spinal surgery\", \"Percutaneous biportal endoscopic decompression\", \"Unilateral biportal endoscopy\", \"Irrigation endoscopic discectomy\", \"UBE\" and \"BESS\".
RESULTS: After screening, 29 pieces of literature are included. The study summarizes different UBE approach portal localizations, categorized by fusion or non-fusion surgery and pathological classification. The study presents an inaugural method for categorizing the lumber into four surgical intervals based on bone landmarks and assigns different UBE approaches to the appropriate intervals based on their characteristics, making the selection of UBE surgical approaches\' portal locations more flexible. Additionally, the study provides an overview of the indications, complications, and distinct benefits associated with each interval, further refining the novel UBE portal interval localization method.
CONCLUSIONS: The study clarifies the interrelationship and commonality between the portals of different UBE approaches and proposes a new UBE portal interval localization method to enhance surgeons\' understanding and proficiency in UBE procedures.
目的:单侧门静脉内窥镜检查(UBE)是一种微创手术,正在获得认可并在临床实践中使用。然而,确定UBE门户位置的精确方法因始发者的偏好或解剖结构与门户位置的接近程度而异。因此,UBE门户\'位置之间的关系是混乱的。本研究旨在详细阐述特定的门户定位,并探索不同UBE方法门户之间的位置关联和共性。
方法:以下关键字用于在PubMed中进行搜索,奥维德,WebofScience,ScienceDirect,SpringerLink,Scopus,CNKI,和万方数据库:“双门内窥镜脊柱手术”,“两门内窥镜脊柱手术”,“经皮双门内镜减压术”,“单侧双入口内窥镜检查”,“冲洗内窥镜椎间盘切除术”,\"UBE\"和\"BESS\"。
结果:筛选后,包括29篇文献。该研究总结了不同的UBE方法门户本地化,按融合或非融合手术和病理分类分类。该研究提出了一种基于骨骼标志将木材分为四个手术间隔的首创方法,并根据其特征将不同的UBE方法分配给适当的间隔,使UBE手术入路的选择更加灵活。此外,这项研究概述了适应症,并发症,以及与每个间隔相关的不同好处,进一步完善了新颖的UBE门户间隔定位方法。
结论:该研究阐明了不同UBE方法的门户之间的相互关系和共同性,并提出了一种新的UBE门户间隔定位方法,以提高外科医生对UBE程序的理解和熟练程度。