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The Role and Future of Endoscopic Spine Surgery: A Narrative Review

Many types of surgeries are changing from conventional to minimally invasive techniques. Techniques in spine surgery have also changed, with endoscopic spine surgery (ESS) becoming a major surgical technique. Although ESS has advantages such as less soft tissue dissection and normal structure damage...

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Detalles Bibliográficos
Autores principales: Kwon, Hyungjoo, Park, Jeong-Yoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Spinal Neurosurgery Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080412/
https://www.ncbi.nlm.nih.gov/pubmed/37016853
http://dx.doi.org/10.14245/ns.2346236.118
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author Kwon, Hyungjoo
Park, Jeong-Yoon
author_facet Kwon, Hyungjoo
Park, Jeong-Yoon
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description Many types of surgeries are changing from conventional to minimally invasive techniques. Techniques in spine surgery have also changed, with endoscopic spine surgery (ESS) becoming a major surgical technique. Although ESS has advantages such as less soft tissue dissection and normal structure damage, reduced blood loss, less epidural scarring, reduced hospital stay, and earlier functional recovery, it is not possible to replace all spine surgery techniques with ESS. ESS was first used for discectomy in the lumbar spine, but the range of ESS has expanded to cover the entire spine, including the cervical and thoracic spine. With improvements in ESS instruments (optics, endoscope, endoscopic drill and shaver, irrigation pump, and multiportal endoscopic), limitations of ESS have gradually decreased, and it is possible to apply ESS to more spine pathologies. ESS currently incorporates new technologies, such as navigation, augmented and virtual reality, robotics, and 3-dimentional and ultraresolution visualization, to innovate and improve outcomes. In this article, we review the history and current status of ESS, and discuss future goals and possibilities for ESS through comparisons with conventional surgical techniques.
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spelling pubmed-100804122023-04-08 The Role and Future of Endoscopic Spine Surgery: A Narrative Review Kwon, Hyungjoo Park, Jeong-Yoon Neurospine Review Article Many types of surgeries are changing from conventional to minimally invasive techniques. Techniques in spine surgery have also changed, with endoscopic spine surgery (ESS) becoming a major surgical technique. Although ESS has advantages such as less soft tissue dissection and normal structure damage, reduced blood loss, less epidural scarring, reduced hospital stay, and earlier functional recovery, it is not possible to replace all spine surgery techniques with ESS. ESS was first used for discectomy in the lumbar spine, but the range of ESS has expanded to cover the entire spine, including the cervical and thoracic spine. With improvements in ESS instruments (optics, endoscope, endoscopic drill and shaver, irrigation pump, and multiportal endoscopic), limitations of ESS have gradually decreased, and it is possible to apply ESS to more spine pathologies. ESS currently incorporates new technologies, such as navigation, augmented and virtual reality, robotics, and 3-dimentional and ultraresolution visualization, to innovate and improve outcomes. In this article, we review the history and current status of ESS, and discuss future goals and possibilities for ESS through comparisons with conventional surgical techniques. Korean Spinal Neurosurgery Society 2023-03 2023-03-31 /pmc/articles/PMC10080412/ /pubmed/37016853 http://dx.doi.org/10.14245/ns.2346236.118 Text en Copyright © 2023 by the Korean Spinal Neurosurgery Society https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Kwon, Hyungjoo
Park, Jeong-Yoon
The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title_full The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title_fullStr The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title_full_unstemmed The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title_short The Role and Future of Endoscopic Spine Surgery: A Narrative Review
title_sort role and future of endoscopic spine surgery: a narrative review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080412/
https://www.ncbi.nlm.nih.gov/pubmed/37016853
http://dx.doi.org/10.14245/ns.2346236.118
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