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

著者情報

キーワード: herniated nucleous pulposus, lumbar spine, surgery, percutaneous endoscopic discectomy, local anesthesia, complication

ジャーナルフリー

2014 年 61 巻 3.4 号 p. 264-269

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

詳細

抄録

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

責任著者(Corresponding author)

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