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Byval'tsev V.A.

otdel neĭrokhirurgii i ortopedii Nauchnogo tsentra rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN;
NUZ Dorozhnaia klinicheskaia bol'nitsa OAO "RZhD", Irkutsk

Sorokovikov V.A.

Nauchnyĭ tsentr rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN, Irkutsk;
GBOU DPO "Irkutskaia gosudarstvennaia meditsinskaia akademiia poslediplomnogo obrazovaniia"

Belykh E.G.

otdel neĭrokhirurgii i ortopedii Nauchnogo tsentra rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN

Egorov A.V.

NUZ "Dorozhnaia klinicheskaia bol'nitsa" OAO RZhD, Irkutsk

Khokhlova E.A.

Nauchnyĭ tsentr rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN, Irkutsk

Comparative analysis of long-term results of microsurgical, endoscopic and endoscopically assisted discectomies for lumbar intervertebral disc hernia

Authors:

Byval'tsev V.A., Sorokovikov V.A., Belykh E.G., Egorov A.V., Khokhlova E.A.

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Journal: Endoscopic Surgery. 2012;18(3): 38‑46

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COMPARATIVE ANALYSIS OF LONG-TERM RESULTS OF MICROSURGICAL, ENDOSCOPIC AND ENDOSCOPICALLY ASSISTED DISCECTOMIES FOR LUMBAR INTERVERTEBRAL DISC HERNIA
COMPARATIVE ANALYSIS OF LONG-TERM RESULTS OF MICROSURGICAL, ENDOSCOPIC AND ENDOSCOPICALLY ASSISTED DISCECTOMIES FOR LUMBAR INTERVERTEBRAL DISC HERNIA

To cite this article:

Byval'tsev VA, Sorokovikov VA, Belykh EG, Egorov AV, Khokhlova EA. Comparative analysis of long-term results of microsurgical, endoscopic and endoscopically assisted discectomies for lumbar intervertebral disc hernia. Endoscopic Surgery. 2012;18(3):38‑46. (In Russ.)

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Article presents comparative analysis of long-term results of endoscopic (Destandau), microsurgical and endoscopically assisted discectomies in management of patients with intervertebral lumbar disc hernias. Quality of life (due to Oswestry Disability Questionnaire), pain intensity (Visual Analogue Scale) 3, 6, 12 months post surgery, postoperative complications were evaluated. Study results argue for high effectiveness and similar long-term results of the three techniques. Endoscopic discectomy requires rigorous selection of eligible patients without reduction of surgical long-term efficacy owed by minimally invasive approach.

Keywords:

intervertebral disc hernia
microdiscectomy
Destandau endoscopic discectomy
endoscopically assisted microdiscectomy

Authors:

Byval'tsev V.A.

otdel neĭrokhirurgii i ortopedii Nauchnogo tsentra rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN;
NUZ Dorozhnaia klinicheskaia bol'nitsa OAO "RZhD", Irkutsk

Sorokovikov V.A.

Nauchnyĭ tsentr rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN, Irkutsk;
GBOU DPO "Irkutskaia gosudarstvennaia meditsinskaia akademiia poslediplomnogo obrazovaniia"

Belykh E.G.

otdel neĭrokhirurgii i ortopedii Nauchnogo tsentra rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN

Egorov A.V.

NUZ "Dorozhnaia klinicheskaia bol'nitsa" OAO RZhD, Irkutsk

Khokhlova E.A.

Nauchnyĭ tsentr rekonstruktivnoĭ i vosstanovitel'noĭ khirurgii Sibirskogo otdeleniia RAMN, Irkutsk

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References:

  1. Mixter W.J., Barr J.S. Rupture of the intervertebral disc with involvement of the spinal canal. New Engl J Med 1934; 211: 210-215.
  2. Caspar W. Anew surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. Adv Neurosurg 1977; 4: 74-80.
  3. Yasargil M.G. Microsurgical operation for herniated disc. Adv Neurosurg 1977; 4: 81.
  4. Foley K.T., Smith M.M. Microendoscopic discectomy. Tech Neurosurg 1997; 3: 301-307.
  5. Destandau J. Technical features of endoscopic surgery for lumbar disc herniation: 191 patients. Neurochirurgie 2004; 50: 6-10.
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  7. Simonovich A.E., Markin S.P. Sravnitel'naya otsenka effektivnosti endoskopicheskoi diskektomii po Destando i otkrytoi mikrokhirurgicheskoi diskektomii pri gryzhakh poyasnichnykh diskov. Khir pozvonochnika 2005; 1: 63-68.
  8. Arts M.P., Brand R., van den Akker M.E. et al. Tubular diskectomyvs conventional microdiskectomy for sciatica. A randomized controlled trial. JAMA 2009; 302: 2: 149-158.
  9. McGirt M.J., Ambrossi G.L., Datoo G. et al. Recurrent disc herniation and long-term back pain after primary lumbar discectomy: review of outcomes reported for limited versus aggressive disc removal. Neurosurgery 2009; 64: 2: 338-345.
  10. Fairbank J.C., Couper J., Davies J.B., O'Brien J.P. The Oswestry low back pain disability questionnaire. Physiotherapy 198; 66: 271-273.
  11. Huskisson E.C. Measurement of pain. Lancet 1974; 2: 1127-1131.
  12. Glants S. Mediko-biologicheskaya statistika. M: Praktika 1998; 459.
  13. Ostelo R.W., Deyo R.A., Stratford P. et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine 2008; 33: 90-94.
  14. Arestov S.O. Endoskopicheskaya neirokhirurgiya pri lechenii gryzh mezhpozvonkovykh diskov grudnogo i poyasnichno-kresttsovogo otdelov pozvonochnika: Dis. ... kand. med. nauk. M 2006.
  15. Byval'tsev V.A., Sorokovikov V.A., Kalinin A.A. i dr. Sravnitel'nyi analiz effektivnosti endoskopicheskoi, mikrokhirurgicheskoi i mikrokhirurgicheskoi s endoskopicheskoi assistentsiei diskektomii v lechenii patsientov s gryzhami poyasnichnykh mezhpozvonkovykh diskov. Vopr neirokhir 2010; 4: 20-26.
  16. Pedachenko E.G., Kushchaev S.V. Endoskopicheskaya spinal'naya neirokhirurgiya. Kiev: ALD, RIMANI 2000; 216.
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