Journal Information
Vol. 28. Issue 5.
Pages 235-241 (September - October 2017)
Share
Share
Download PDF
More article options
Visits
15
Vol. 28. Issue 5.
Pages 235-241 (September - October 2017)
Clinical Research
Fully endoscopic interlaminar and transforaminal lumbar discectomy: Analysis of 47 complications encountered in a series of 835 patients
Discectomía lumbar interlaminar y transforaminal completamente endoscópica: análisis de 47 complicaciones encontradas en una serie de 835 pacientes
Visits
15
Ali Güven Yörükoğlua, Burcu Gökerb,c, Alican Tahtad, Mehmet Osman Akçakayab,c,
Corresponding author
moakcakaya@gmail.com

Corresponding author.
, Aydın Aydoselie, Pulat Akın Sabancıe, Yavuz Arase, Görkem Alkırf, Altay Sencere, Murat Imere, Nail Izgie, Ali Tuncay Canbolate
a Department of Neurosurgery, Avrasya Hospital, Istanbul, Turkey
b Department of Neurosurgery, Liv Hospital, Istanbul, Turkey
c Department of Neurosurgery, Istinye University Medical Faculty, Istanbul, Turkey
d Department of Neurosurgery, Iğdır State Hospital, Iğdır, Turkey
e Department of Neurosurgery, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey
f Department of Neurosurgery, Bakırkoy Sadi Konuk Training and Research Hospital, Istanbul, Turkey
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Tables (3)
Table 1. Comparison of the patient details between the series and patients with complications.
Table 2. Table summarizes patient details of patients with motor deficits.
Table 3. Table summarizes the list of complications and their percentages.
Show moreShow less
Abstract
Objective

To report perioperative complications in fully endoscopic lumbar discectomy (FELD).

Methods

From September 2010 to November 2016, 835 patients underwent FELD. In total, 865 disc levels were operated on. Of the 835 patients, the transforaminal (TF) approach was used in 174 patients, while 691 patients were operated on using the interlaminar (IL) approach. Surgical complications occurred in 47 patients, which were retrospectively analyzed.

Results

Neurological deficits occurred in six patients. In four of these six patients, deficits resolved spontaneously. In one patient, symptoms resolved after a laminectomy procedure. In only one case, the neurological deficit was permanent. Seven patients complained of dysesthesia, which resolved spontaneously with medical treatment in four patients. In the remaining two patients, dysesthesia symptoms improved after epidural and foraminal injections. Dural tears were encountered in 26 patients. Pudendal neuralgia occurred in three patients. Two cases showed wound infection. The other complications comprised one disc infection, one retroperitoneal hematoma and one wrong level surgery.

Conclusion

The FELD procedure has a steep learning curve and it is a difficult procedure to master. Surgeons should be aware of complications that can occur with the FELD procedure, most of which resolve spontaneously.

Keywords:
Fully endoscopic lumbar discectomy
FELD
Interlaminar
Transforaminal
Complications
Resumen
Objetivo

Informar las complicaciones perioperatorias en la discectomía lumbar completamente endoscópica (FELD).

Mèc)todos

De septiembre del 2010 a noviembre del 2016, 835 pacientes fueron sometidos a FELD. Se utilizó un total de 865 niveles de disco. De los 835 pacientes, 174 pacientes fueron operados utilizando el enfoque transforaminal (TF) y 691 pacientes fueron operados en el mèc)todo interlaminar (IL). Las complicaciones quirúrgicas ocurrieron en 47 pacientes que fueron analizados retrospectivamente.

Resultados

Se presentaron dèc)ficits neurológicos en seis pacientes. En 4 de 6 de estos pacientes los dèc)ficits se resolvieron espontáneamente. En un paciente, los síntomas se resolvieron despuèc)s de un procedimiento de laminectomía. En un solo caso, el dèc)ficit neurológico fue permanente. Siete pacientes se quejaron de la disestesia, que se resolvió espontáneamente con la terapia mèc)dica en 4 pacientes. En los 2 pacientes restantes, los síntomas de la disestesia mejoraron despuèc)s de las inyecciones epidurales y foraminales. Se encontraron lágrimas dural en 26 pacientes. La neuralgia de Pudendal ocurrió en 3 pacientes. Dos casos mostraron infección de la herida. Una infección a nivel de disco, un hematoma retroperitoneal y una cirugía de nivel incorrecto fueron las otras complicaciones.

Conclusión

El procedimiento FELD tiene una curva de aprendizaje abrupta y es un procedimiento difícil de dominar. Los cirujanos deben ser conscientes de las complicaciones que pueden ocurrir con el procedimiento FELD, la mayoría de los cuales se resuelven espontáneamente.

Palabras clave:
Discectomía lumbar completamente endoscópica
FELD
Interlaminar
Transforaminal
Complicaciones

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?