title: Surgery related complications in percutaneous endoscopic lumbar discectomy under local anesthesia.
abstract: The minimally invasive percutaneous endoscopic discectomy (PED) as the postero-lateral approach with the local anesthesia was started in the late 20th century. The procedure only requires 8 mm of skin incision; thus, it is the least invasive disc surgery presently. The surgery related complications were reviewed in the initial 100 cases from the single surgeon (K. S., first author). Two cases showed exiting nerve irritation, and complained of leg paresthetic pain for 6 to 12 weeks after the surgery (2.0%). The symptoms got better with medicines. One showed post-surgical epidural hematoma, and required surgical removal of the mass (1.0%). Two cases complained neck pain during surgery (2.0%). Surgeons would be aware of the specific complications for the postero-lateral approach of PED procedure.
authors.affiliation: Department of Orthopedics, the University of Tokushima.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sairyo
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Matsuura
authors.forename: Kosaku
authors.initials: K
authors.lastname: Higashino
authors.forename: Toshinori
authors.initials: T
authors.lastname: Sakai
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Takata
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Goda
authors.forename: Naoto
authors.initials: N
authors.lastname: Suzue
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hamada
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Goto
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nishisho
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Sato
authors.forename: Takahiko
authors.initials: T
authors.lastname: Tsutsui
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tonogai
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Mineta
mesh_terms: D000772:Anesthesia, Local; D017587:Diskectomy, Percutaneous / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D011183:Postoperative Complications / Q000628:therapy