P39。标准器械改良全内窥镜脊柱手术的疗效

IF 2.5 Q3 Medicine

North American Spine Society Journal Pub Date : 2025-07-01 DOI:10.1016/j.xnsj.2025.100663

Jinhwa Eum MD

{"title":"P39。标准器械改良全内窥镜脊柱手术的疗效","authors":"Jinhwa Eum MD","doi":"10.1016/j.xnsj.2025.100663","DOIUrl":null,"url":null,"abstract":"<div><h3>BACKGROUND CONTEXT</h3><div>Full endoscopic spine surgery (FESS) is a good minimally invasive method for diverse pathologic spine diseases. But we cannot use large or curved standard spine surgery instruments due to a limited working channel size. To solve this problem, we modified the working channel to allow for FESS with conventional instruments and angled nerve root retractors instead of long and not sturdy expensive tools.</div></div><div><h3>PURPOSE</h3><div>In this report, we describe the application of modified FESS for spine surgeries and discuss its advantages and pitfalls.</div></div><div><h3>STUDY DESIGN/SETTING</h3><div>We used a modified full endoscopic spine surgery system with standard durable instruments.</div></div><div><h3>PATIENT SAMPLE</h3><div>The following surgical procedures are conducted: lumbar unilateral laminotomy and bilateral decompression (n=2); lumbar foraminotomy (n=1); lumbar laminotomy and discectomy (n=3) transforaminal lumbar interbody fusion(n=1); and cervical laminotomy and discectomy (n=3).</div></div><div><h3>OUTCOME MEASURES</h3><div>VAS scores were improved from 8.2 preoperatively to 2.6 at 3 months follow-up visit.</div></div><div><h3>METHODS</h3><div>N/A</div></div><div><h3>RESULTS</h3><div>All surgical operations were successfully completed. None of the procedures had to be stopped due to technical issues. No surgical complications were noted that could be related with modified FESS. VAS scores improved significantly after surgery.</div></div><div><h3>CONCLUSIONS</h3><div>There are several advantages with modified FESS such as the capability of using large or curved standard surgical instruments, a more acceptable learning curve, and a reasonable cost. Modified FESS seems to be an effective alternative compared to a conventional full endoscopic spine surgery. With further refinement of the system, the modified FESS might become the next generation of full endoscopic spine surgery.</div></div><div><h3>FDA Device/Drug Status</h3><div>This abstract does not discuss or include any applicable devices or drugs.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"22 ","pages":"Article 100663"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"P39. Efficacy of modified full endoscopic spine surgery with standard instruments\",\"authors\":\"Jinhwa Eum MD\",\"doi\":\"10.1016/j.xnsj.2025.100663\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>BACKGROUND CONTEXT</h3><div>Full endoscopic spine surgery (FESS) is a good minimally invasive method for diverse pathologic spine diseases. But we cannot use large or curved standard spine surgery instruments due to a limited working channel size. To solve this problem, we modified the working channel to allow for FESS with conventional instruments and angled nerve root retractors instead of long and not sturdy expensive tools.</div></div><div><h3>PURPOSE</h3><div>In this report, we describe the application of modified FESS for spine surgeries and discuss its advantages and pitfalls.</div></div><div><h3>STUDY DESIGN/SETTING</h3><div>We used a modified full endoscopic spine surgery system with standard durable instruments.</div></div><div><h3>PATIENT SAMPLE</h3><div>The following surgical procedures are conducted: lumbar unilateral laminotomy and bilateral decompression (n=2); lumbar foraminotomy (n=1); lumbar laminotomy and discectomy (n=3) transforaminal lumbar interbody fusion(n=1); and cervical laminotomy and discectomy (n=3).</div></div><div><h3>OUTCOME MEASURES</h3><div>VAS scores were improved from 8.2 preoperatively to 2.6 at 3 months follow-up visit.</div></div><div><h3>METHODS</h3><div>N/A</div></div><div><h3>RESULTS</h3><div>All surgical operations were successfully completed. None of the procedures had to be stopped due to technical issues. No surgical complications were noted that could be related with modified FESS. VAS scores improved significantly after surgery.</div></div><div><h3>CONCLUSIONS</h3><div>There are several advantages with modified FESS such as the capability of using large or curved standard surgical instruments, a more acceptable learning curve, and a reasonable cost. Modified FESS seems to be an effective alternative compared to a conventional full endoscopic spine surgery. With further refinement of the system, the modified FESS might become the next generation of full endoscopic spine surgery.</div></div><div><h3>FDA Device/Drug Status</h3><div>This abstract does not discuss or include any applicable devices or drugs.</div></div>\",\"PeriodicalId\":34622,\"journal\":{\"name\":\"North American Spine Society Journal\",\"volume\":\"22 \",\"pages\":\"Article 100663\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"North American Spine Society Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666548425000836\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"North American Spine Society Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666548425000836","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

背景背景全内窥镜脊柱手术（FESS）是治疗多种病理性脊柱疾病的一种良好的微创方法。但由于工作通道大小有限，我们不能使用大型或弯曲的标准脊柱手术器械。为了解决这个问题，我们修改了工作通道，允许使用传统器械和有角度的神经根牵开器进行FESS，而不是使用长而不坚固的昂贵工具。目的在本报告中，我们描述改良FESS在脊柱手术中的应用，并讨论其优点和缺陷。研究设计/设置：我们使用改良的全内窥镜脊柱手术系统和标准耐用器械。患者样本进行以下手术：腰椎单侧椎板切开术和双侧减压（n=2）；腰椎椎间孔切开术（n=1）；腰椎椎板切开术和椎间盘切除术（n=3）经椎间孔腰椎椎间融合术（n=1）；颈椎椎板切开术和椎间盘切除术（n=3）。结果：随访3个月时，vas评分从术前的8.2分提高到2.6分。方法/结果所有手术均顺利完成。没有一个程序会因为技术问题而停止。未发现与改良FESS相关的手术并发症。术后VAS评分明显改善。结论改良FESS具有使用大型或弯曲的标准手术器械、学习曲线更易接受、成本合理等优点。与传统的全内窥镜脊柱手术相比，改良的FESS似乎是一种有效的替代方法。随着系统的进一步完善，改进后的FESS可能成为下一代全内窥镜脊柱手术。FDA器械/药物状态本摘要不讨论或包括任何适用的器械或药物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

P39. Efficacy of modified full endoscopic spine surgery with standard instruments

BACKGROUND CONTEXT

Full endoscopic spine surgery (FESS) is a good minimally invasive method for diverse pathologic spine diseases. But we cannot use large or curved standard spine surgery instruments due to a limited working channel size. To solve this problem, we modified the working channel to allow for FESS with conventional instruments and angled nerve root retractors instead of long and not sturdy expensive tools.

PURPOSE

In this report, we describe the application of modified FESS for spine surgeries and discuss its advantages and pitfalls.

STUDY DESIGN/SETTING

We used a modified full endoscopic spine surgery system with standard durable instruments.

PATIENT SAMPLE

The following surgical procedures are conducted: lumbar unilateral laminotomy and bilateral decompression (n=2); lumbar foraminotomy (n=1); lumbar laminotomy and discectomy (n=3) transforaminal lumbar interbody fusion(n=1); and cervical laminotomy and discectomy (n=3).

OUTCOME MEASURES

VAS scores were improved from 8.2 preoperatively to 2.6 at 3 months follow-up visit.

METHODS

N/A

RESULTS

All surgical operations were successfully completed. None of the procedures had to be stopped due to technical issues. No surgical complications were noted that could be related with modified FESS. VAS scores improved significantly after surgery.

CONCLUSIONS

There are several advantages with modified FESS such as the capability of using large or curved standard surgical instruments, a more acceptable learning curve, and a reasonable cost. Modified FESS seems to be an effective alternative compared to a conventional full endoscopic spine surgery. With further refinement of the system, the modified FESS might become the next generation of full endoscopic spine surgery.