The Journal of Medical Investigation
Online ISSN : 1349-6867
Print ISSN : 1343-1420
Reviews
State of the Art: Transforaminal Approach for Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia
Koichi SairyoHiroshi EgawaTetsuya MatsuuraMitsuhiko TakahashiKosaku HigashinoToshinori SakaiNaoto SuzueDaisuke HamadaTomohiro GotoYoichiro TakataToshihiko NishishoYuichiro GodaRyosuke SatoTakahiko TsutsuiIchiro TonogaiKenji KondoFumitake TezukaKazuaki MinetaKosuke SugiuraMakoto TakeuchiAkira Dezawa
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2014 Volume 61 Issue 3.4 Pages 217-225

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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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© 2014 by The University of Tokushima Faculty of Medicine
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