지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 539 - 546 (8page)
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초록· 키워드
오류제보하기
Objective : To report the learning curve of percutaneous endoscopic lumbar discectomy (PELD) for a surgeon who had not been previously exposed to this procedure based on the period and detailed technique with a retrospective matched comparative design. Methods : Of 213 patients with lumbar disc herniation encountered during the reference period, 35 patients who were followed up for 1 year after PELD were enrolled in this study. The patients were categorized by the period and technique of operation : group A, the first 15 cases, who underwent by the 'in-and-out' technique; group B, the next 20 cases, who underwent by the 'in-and-out-and-in' technique. The operation time, failure rate, blood loss, complication rate, re-herniation rate, the Visual Analogue Scale (VAS) for back and leg were checked. The alteration of dural sac cross-sectional area (DSCSA) between the preoperative and the postoperative MRI was checked. Results : Operative time was rapidly reduced in the early phase, and then tapered to a steady state for the 35 cases receiving the PELD. After surgery, VAS scores for the back and leg were decreased significantly in both groups. Complications occurred in 2 patients in group A and 2 patients in group B. Between the two groups, there were significant differences in operative time, improvement of leg VAS, and expansion of DSCSA. Conclusion : PELD learning curve seems to be acceptable with sufficient preparation. However, because of their high tendency to delayed operation time, operation failure, and re-herniation, caution should be exercised at the early phase of the procedure.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Ki Hwan Chae / 2009 / Strategies for Noncontained Lumbar Disc Herniation by an Endoscopic Approach : Transforaminal Suprapedicular Approach, Semi-Rigid Flexible Curved Probe, and 3-Dimensional Reconstruction CT with Discogram / 대한신경외과학회지 46(4):312~316
Cho JY. / 2011 / Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation : floating retraction technique / Minim Invasive Neurosurg 54:214~218
Choi G. / 2011 / Risk of developing seizure after percutaneous endoscopic lumbar discectomy / J Spinal Disord Tech 24:83~92
Choi G. / 2013 / Clinical results of XMR-assisted percutaneous transforaminal endoscopic lumbar discectomy / J Orthop Surg Res 8:14
Choi I. / 2013 / Exiting root injury in transforaminal endoscopic discectomy : preoperative image considerations for safety / Eur Spine J 22:2481~2487
Cho JY. / 2011 / Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation : floating retraction technique / Minim Invasive Neurosurg 54:214~218
Choi G. / 2011 / Risk of developing seizure after percutaneous endoscopic lumbar discectomy / J Spinal Disord Tech 24:83~92
Choi G. / 2013 / Clinical results of XMR-assisted percutaneous transforaminal endoscopic lumbar discectomy / J Orthop Surg Res 8:14
Choi I. / 2013 / Exiting root injury in transforaminal endoscopic discectomy : preoperative image considerations for safety / Eur Spine J 22:2481~2487
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