Prompt Return to Work after Bilateral Transforaminal Full-endoscopic Lateral Recess Decompression under Local Anesthesia: A Case Report
Prompt Return to Work after Bilateral Transforaminal Full-endoscopic Lateral Recess Decompression under Local Anesthesia: A Case Report
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局麻下双侧经椎间孔全内镜侧隐窝减压术后迅速恢复工作：一例报告
DOI：
10.1055/s-0040-1712463
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Sairyo Koichi
中科院分区：
文献类型：
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作者：
Sugiura Kosuke;Yamashita Kazuta;Manabe Hiroaki;Ishihama Yoshihiro;Tezuka Fumitake;Takata Yoichiro;Sakai Toshinori;Maeda Toru;Sairyo Koichi
经椎间孔全内窥镜腰椎间盘切除术在世纪初确立。它可以在局部麻醉下进行，只需要一个8毫米的皮肤切口，使其成为侵入性最小的椎间盘手术方法。全内窥镜技术最近已被用于治疗腰椎管狭窄症。在这里，我们描述了一个60岁的男性，在局部麻醉下通过经椎间孔途径同时进行双侧腰椎侧隐窝狭窄减压的结果。患者主诉双侧腿部疼痛，无法站立和行走，他已经能够继续他的工作，作为一个牙医治疗病人，而坐着。影像学检查显示双侧腰椎侧隐窝狭窄伴L4/5中央髓核突出。我们在局部麻醉下同时进行了双侧经椎间孔全内窥镜腰椎侧隐窝减压术（TE-LRD）。减压和椎间盘切除术均成功完成，无并发症。TE-LRD术后5天，他能够重返工作岗位，手术后3个月，他又开始打高尔夫球。局部麻醉下的全内窥镜手术对于术后需要尽快恢复工作的患者非常有效。
Transforaminal full-endoscopic lumbar diskectomy became established early in the 21st century. It can be performed under local anesthesia and requires only an 8-mm skin incision, making it the least invasive disk surgery method available. The full-endoscopic technique has recently been used to treat lumbar spinal canal stenosis. Here, we describe the outcome of simultaneous bilateral decompression of lumbar lateral recess stenosis via a transforaminal approach under local anesthesia in a 60-year-old man. The patient presented with a complaint of bilateral leg pain that was preventing him from standing and walking, and he had been able to continue his work as a dentist by treating patients while seated. Imaging studies revealed bilateral lumbar lateral recess stenosis with central herniated nucleus pulposus at L4/5. We performed simultaneous bilateral transforaminal full-endoscopic lumbar lateral recess decompression (TE-LRD) under local anesthesia. Both decompression and diskectomy were successfully completed without complications. Five days after TE-LRD, he was able to return to work, and 3 months after the surgery, he resumed playing golf. Full-endoscopic surgery under local anesthesia can be very effective in patients who need to return to work as soon as possible after surgery.