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Incorporating New Technologies to Overcome the Limitations of Endoscopic Spine Surgery: Navigation, Robotics, and Visualization

Authors
 Hahn, Bang-Sang  ;  Park, Jeong-Yoon 
Citation
 WORLD NEUROSURGERY, Vol.145 : 712-721, 2021-01 
Journal Title
WORLD NEUROSURGERY
ISSN
 1878-8750 
Issue Date
2021-01
Keywords
Endoscopic spine surgery ; Minimally invasive surgery ; Navigation ; Spine endoscope ; Robot-assisted spine surgery
Abstract
Recently, spine surgery has gradually evolved from conventional open surgery to minimally invasive surgery, and endoscopic spine surgery (ESS) has become an important procedure in minimally invasive spine surgery. With improvements in the optics, spine endoscope, endoscopic burr, and irrigation pump, the indications of ESS are gradually widening from lumbar to cervical and thoracic spine. ESS was not only used previously for disc herniations that were contained without migration but is also used currently for highly migrated disc herniations and spinal stenosis; thus, the indications of ESS will be further expanded. Although ESS has certain advantages such as less soft tissue dissection and muscle trauma, reduced blood loss, less damage to the epidural blood supply and consequent less epidural fibrosis and scarring, reduced hospital stay, early functional recovery, and improvement of quality of life as well as better cosmesis, several obstacles remain for ESS to be widespread because it has a steep learning curve and surgical outcome is strongly dependent on the surgeon's skill fulness. A solid surgical technique requires reproducibility and ensured safety in addition to surgical outcomes. In this review article, how to improve ESS was investigated by grafting novel technologies such as navigation, robotics, and 3-dimensional and ultra resolution visualization.
Full Text
https://www.sciencedirect.com/science/article/pii/S187887502031456
DOI
10.1016/j.wneu.2020.06.188
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jeong Yoon(박정윤) ORCID logo https://orcid.org/0000-0002-3728-7784
Hahn, Bang Sang(한방상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181850
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