• World Neurosurg · Nov 2023

    Review

    Full Endoscopic spine surgery (FESS) with image-guided navigation system as "hybrid ESS": A narrative review.

    • Yukoh Ohara.
    • Department of Neurosurgery, Juntendo University, Tokyo, Japan. Electronic address: yukoh@juntendo.ac.jp.
    • World Neurosurg. 2023 Nov 1; 179: 454845-48.

    AbstractEndoscopic surgery is adopted as a minimally invasive technique in several surgical fields. Endoscopic spine surgery (ESS) was performed initially for lumbar discectomy but is currently widely utilized for various pathologies. Similar to other endoscopic techniques, ESS has a steep learning curve that has recently been a topic of discussion. Image-guided navigation systems have been developed for spine surgery. Intraoperative computed tomography enables the use of an image-guided navigation system in ESS, which is a suitable approach for managing complex lesions. Full-ESS is currently being adopted for certain cervical pathologies, and the incorporation of an image-guided navigation system will soon enable surgery for other cervical pathologies.Copyright © 2023 Elsevier Inc. All rights reserved.

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