Journal of Korean Neurosurgical Society

  • 제51권3호
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  • Pages.182-186
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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The Obturator Guiding Technique in Percutaneous Endoscopic Lumbar Discectomy

  • Han, In-Ho (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Choi, Byung-Kwan (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cho, Won-Ho (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Nam, Kyoung-Hyup (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • 투고 : 2011.08.01
  • 심사 : 2012.03.14
  • 발행 : 2012.03.28
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초록

In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modification of standard endoscopic lumbar discectomy, in which, obturator is used to access triangular working zone instead of a guide needle. Obturator guiding technique provides more vivid feedback and easy manipulation. This technique decreases the steps of inserting instruments and takes safer route from the peritoneum.

키워드

참고문헌

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피인용 문헌

  1. Learning Curve of Percutaneous Endoscopic Lumbar Discectomy Based on the Period (Early vs. Late) and Technique (in-and-out vs. in-and-out-and-in) : A Retrospective Comparative Study vol.58, pp.6, 2015, https://doi.org/10.3340/jkns.2015.58.6.539
  2. Lumbar Endoscopic Microdiscectomy: Where Are We Now? An Updated Literature Review Focused on Clinical Outcome, Complications, and Rate of Recurrence vol.2015, pp.None, 2012, https://doi.org/10.1155/2015/417801
  3. Foraminoplastic Superior Vertebral Notch Approach with Reamers in Percutaneous Endoscopic Lumbar Discectomy : Technical Note and Clinical Outcome in Limited Indications of Percutaneous Endoscopic Lumb vol.59, pp.2, 2016, https://doi.org/10.3340/jkns.2016.59.2.172