Isocentric Navigation for the Training of Percutaneous Endoscopic Transforaminal Discectomy: A Feasibility Study

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2018 Aug 17

PMID 30112415

Citations 3

Authors

Guoxin Fan

Chaobo Feng

Wangcheng Xie

Dongdong Wang

Fei Liu

Chun Yuan

Zhi Zhou

Shisheng He

Affiliations

Soon will be listed here.

Abstract

Background: Percutaneous endoscopic transforaminal discectomy (PETD) is usually chosen for lumbar disc herniation due to its obvious advantages such as small incision and absence of nerve or muscular traction. However, learning PETD is a great challenge for inexperienced surgeons.

Objective: The study aimed to investigate whether isocentric navigation would be beneficial in PETD training.

Methods: A total of 117 inexperienced surgeons were trained with PETD at L2/3, L3/4, L4/5, and L5/S1 on the cadavers without (Group A n=58) or with (Group B n=59) isocentric navigation. Puncture times, fluoroscopy times, exposure time, and radiation dose were recorded and analyzed. Questionnaires were conducted before and after the training program.

Result: Isocentric navigation could improve young surgeons' satisfaction with the training program and decrease the puncture times, fluoroscopy times, exposure time, and radiation dose significantly (P<0.001).

Conclusion: Isocentric navigation contributes to the training of PETD and may improve its standardization, homogenization, and generalization.

Citing Articles

Applications of navigation in full-endoscopic spine surgery.

Schmidt B, Chen K, Kim J, Brooks N Eur Spine J. 2023; 33(2):429-437.

PMID: 37773448 DOI: 10.1007/s00586-023-07918-8.

Application of Mixed Reality Using Optical See-Through Head-Mounted Displays in Transforaminal Percutaneous Endoscopic Lumbar Discectomy.

Liu X, Sun J, Zheng M, Cui X Biomed Res Int. 2021; 2021:9717184.

PMID: 33644234 PMC: 7902133. DOI: 10.1155/2021/9717184.

Preoperative Design for the Posterolateral Approach in Full-Endoscopic Spine Surgery for the Treatment of L5/S1 Lumbar Disc Herniation.

Fujita M, Kawano H, Kitagawa T, Iwai H, Takano Y, Inanami H Neurospine. 2019; 16(1):105-112.

PMID: 30943712 PMC: 6449817. DOI: 10.14245/ns.1836316.158.

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