{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:56:18Z","timestamp":1784328978943,"version":"3.55.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>\n            Background\u2003We adopted full-endoscopic lumbar discectomy (FELD) in 2019 with the assistance of the Japanese Society for Minimally Invasive and Endoscopic Techniques of Spinal Neurosurgery (JASMETS). This study analyzed short-term outcomes in our initial FELD cases and compared them with microdiscectomy cases performed during the same period.<\/jats:p><jats:p>\n            Methods\u2003FELD was performed in 21 patients over a period of 2 years and 6 months (15 men and 6 women; mean age, 57.0\u00b117.0 years). The transforaminal approach was performed in 8 patients, the posterolateral approach in 3, and the interlaminar approach in 10. During the same period, microdiscectomy was performed in 30 patients. Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) scores, operation time, blood loss volume, complications, and incidence of lumbar disc herniation recurrence were compared between the groups.<\/jats:p><jats:p>\n            Results\u2003Preoperative VAS and JOA scores did not significantly differ between the FELD and microdiscectomy groups. JOA and VAS scores significantly improved in both groups after surgery. Operation time and incidence of recurrence rate did not differ.<\/jats:p><jats:p>\n            Conclusion\u2003Spine surgeons who adopt FELD can achieve good surgical outcomes similar to those of microdiscectomy, even in the early period. Participation in JASMETS seminars and training and proctoring by a certified endoscopic spine surgeon were instrumental in our experience.<\/jats:p>","DOI":"10.1055\/s-0042-1751012","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:10:00Z","timestamp":1662077400000},"page":"474-479","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Outcomes of Full-Endoscopic Lumbar Discectomy in the Early Adoption Phase"],"prefix":"10.1055","volume":"17","author":[{"given":"Ryoji","family":"Imoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiari","family":"Umakoshi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Yunoki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Tatano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Hirashita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimihiro","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Koyo Hospital, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,1]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1227\/NEU.0000000000000361","article-title":"Percutaneous endoscopic lumbar foraminotomy: an advanced surgical technique and clinical outcomes","volume":"75","author":"Y Ahn","year":"2014","journal-title":"Neurosurgery"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1097\/BRS.0b013e31816c8af7","article-title":"Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study","volume":"33","author":"S Ruetten","year":"2008","journal-title":"Spine"},{"issue":"09","key":"ref3","doi-asserted-by":"crossref","first-page":"383","DOI":"10.2176\/nmc.48.383","article-title":"Learning curve for percutaneous endoscopic lumbar discectomy","volume":"48","author":"D Y Lee","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2531\/spinalsurg.30.41","article-title":"Guidelines for the assessment of neurological state in spine and spinal cord disorders - scoring system for clinical studies","volume":"30","author":"K Kim","year":"2016","journal-title":"Spinal Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1001\/jama.2009.972","article-title":"Tubular diskectomy vs conventional microdiskectomy for sciatica: a randomized controlled trial","volume":"302","author":"M P Arts","year":"2009","journal-title":"JAMA"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1097\/00007632-200204010-00009","article-title":"Posterolateral endoscopic excision for lumbar disc herniation: surgical technique, outcome, and complications in 307 consecutive cases","volume":"27","author":"A T Yeung","year":"2002","journal-title":"Spine"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2531\/spinalsurg.30.152","article-title":"Percutaneous endoscopic lumbar discectomy: comprehending the present and proceeding towards the future","volume":"30","author":"Y Ohara","year":"2016","journal-title":"Spinal Surg"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"320","DOI":"10.3171\/2014.10.SPINE1442","article-title":"Risk factors for failure of single-level percutaneous endoscopic lumbar discectomy","volume":"23","author":"H Wang","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"3051","DOI":"10.2147\/RMHP.S287976","article-title":"Risk factors for recurrent L4-5 disc herniation after percutaneous endoscopic transforaminal discectomy: a retrospective analysis of 654 cases","volume":"13","author":"M Kong","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1097\/01.bsd.0000204500.14719.2e","article-title":"Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations","volume":"19","author":"J S Jang","year":"2006","journal-title":"J Spinal Disord Tech"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"264","DOI":"10.2152\/jmi.61.264","article-title":"Surgery related complications in percutaneous endoscopic lumbar discectomy under local anesthesia","volume":"61","author":"K Sairyo","year":"2014","journal-title":"J Med Invest"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"4181","DOI":"10.1007\/s00586-016-4427-2","article-title":"Variations in arterial supply to the lower lumbar spine","volume":"25","author":"F Tezuka","year":"2016","journal-title":"Eur Spine J"},{"key":"ref13","first-page":"107","article-title":"Surgical technique of endoscopic decompression for spinal canal stenosis using DPEL scope","author":"A Dezawa","year":"2021","journal-title":"Spine & Spinal Cord"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1751012.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T01:17:48Z","timestamp":1668561468000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1751012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":13,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,11,15]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1751012","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}