Surgery Related Complications in Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

Koichi Sairyo; Tetsuya Matsuura; Kosaku Higashino; Toshinori Sakai; Yoichiro Takata; Yuichiro Goda; Naoto Suzue; Daisuke Hamada; Tomohiro Goto; Toshihiko Nishisho; Ryosuke Sato; Takahiko Tsutsui; Ichiro Tonogai; Kazuaki Mineta

doi:10.2152/jmi.61.264

Reviews

Surgery Related Complications in Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

Koichi Sairyo, Tetsuya Matsuura, Kosaku Higashino, Toshinori Sakai, Yoichiro Takata, Yuichiro Goda, Naoto Suzue, Daisuke Hamada, Tomohiro Goto, Toshihiko Nishisho, Ryosuke Sato, Takahiko Tsutsui, Ichiro Tonogai, Kazuaki Mineta

Author information

Koichi Sairyo
Department of Orthopedics, the University of Tokushima
Tetsuya Matsuura
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
Yoichiro Takata
Department of Orthopedics, the University of Tokushima
Yuichiro Goda
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
Toshihiko Nishisho
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
Kazuaki Mineta
Department of Orthopedics, the University of Tokushima

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

JOURNAL FREE ACCESS

2014 Volume 61 Issue 3.4 Pages 264-269

DOI https://doi.org/10.2152/jmi.61.264

Details

Abstract

The minimally invasive percutaneous endoscopic discectomy (PED) as the postero-lateral approach with the local anesthesia was started in the late 20th century. The procedure only requires 8 mm of skin incision; thus, it is the least invasive disc surgery presently. The surgery related complications were reviewed in the initial 100 cases from the single surgeon (K. S., first author). Two cases showed exiting nerve irritation, and complained of leg paresthetic pain for 6 to 12 weeks after the surgery (2.0%). The symptoms got better with medicines. One showed post-surgical epidural hematoma, and required surgical removal of the mass (1.0%). Two cases complained neck pain during surgery (2.0%). Surgeons would be aware of the specific complications for the postero-lateral approach of PED procedure. J. Med. Invest. 61: 264-269, August, 2014

Corresponding author

Register with J-STAGE for free!