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Biomed Res Int. 2018 Jul 15;2018:6740942. doi: 10.1155/2018/6740942. eCollection 2018.

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

Author information

1
Orthopedics Department, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
2
Orthopedics Department, Zhangjiagang City Hospital of Traditional Chinese Medicine, Jiangsu, China.

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.

PMID:
30112415
PMCID:
PMC6077558
DOI:
10.1155/2018/6740942
[Indexed for MEDLINE]
Free PMC Article

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