PDF(Pubmed)
Abstract：
Background: Endoscopic spine surgery represents a significant advancement in the minimally invasive treatment of spinal disorders, promising reduced surgical invasiveness while aiming to maintain or improve clinical outcomes. This study undertakes a comprehensive review of the literature on endoscopic spine surgery, with a particular focus on cataloging and analyzing the range of complications, from common postoperative issues to more severe, casuistic outcomes like dural tears and nerve damage. Methods: Our methodology encompassed a detailed review of meta-analyses, prospective randomized trials, cohort studies, and case reports to capture a broad spectrum of complications associated with endoscopic spine techniques. The emphasis was on identifying both the frequency and severity of these complications to understand better the procedural risks. Results: The findings suggest that endoscopic spine surgery generally exhibits a lower complication rate compared to traditional surgical approaches. Nonetheless, the identification of specific, rare complications peculiar to endoscopic methods underscores the critical need for surgeons\' advanced skills, continuous learning, and awareness of potential risks. Conclusions: Recognizing and preparing for the potential complications associated with the rapid adoption of endoscopic techniques is paramount to ensuring patient safety and improving surgical outcomes in minimally invasive spine surgery.
摘要：
背景：脊柱内窥镜手术代表了脊柱疾病的微创治疗的重大进展。有希望降低手术侵袭性，同时旨在维持或改善临床结果。这项研究对内窥镜脊柱手术的文献进行了全面的回顾，特别关注分类和分析并发症的范围，从常见的术后问题到更严重，偶然性结果，如硬脑膜撕裂和神经损伤。方法：我们的方法包括对荟萃分析的详细回顾，前瞻性随机试验，队列研究，和病例报告，以捕获与内窥镜脊柱技术相关的广泛并发症。重点是确定这些并发症的频率和严重程度，以更好地了解手术风险。结果：研究结果表明，与传统手术方法相比，内窥镜脊柱手术的并发症发生率较低。尽管如此，具体的识别，内镜方法特有的罕见并发症强调了对外科医生高级技能的关键需求，持续学习,以及对潜在风险的认识。结论：认识和准备与快速采用内窥镜技术相关的潜在并发症对于确保患者安全和改善微创脊柱手术的手术效果至关重要。
