Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (48): 9090-9094.doi: 10.3969/j.issn.1673-8225.2010.48.038

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Microendoscopy discectomy versus open lumbar disectomy for lumbar disc herniation: A Meta-analysis

She Wei, Chen Gen-yuan, Hou Wei-hua, Hu Long, Zhang Hui, Lü Xiao-hua   

  1. First Hospital of Lanzhou University, Lanzhou  730000, Gansu Province, China
  • Online:2010-11-26 Published:2010-11-26
  • Contact: Chen Gen-yuan, Chief physician, Master’s supervisor, First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China chengy472@163.com
  • About author:She Wei★, Studying for master’s degree, First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China shewei2010@126.com

Abstract:

BACKGROUND: Microendoscopy system combines traditional open surgery and microendoscopy and is minimally invasive. Moreover, compared with traditional open operation, microendoscopy discectomy can enlarge operating field, enhance illumination system, and reduce surrounding tissue injury.
OBJECTIVE: To compare the surgical outcome and investigate the clinical value between microendoscopy discectomy and open lumbar disectomy in the treatment of lumbar disc herniation.
METHODS: A computer-based online search of Medline (1990-01/2010-03), PubMed, Embase (1990-01/2010-03), Cochrane Library, and Chinese Biomedical Literature Database was performed, and conference references were manually searched. Using the Cochrane Collaboration guidelines, all randomized controlled trials comparing open lumbar disectomy and microendoscopy discectomy were systematically reviewed. The Cochrane Collaboration’s RevMan 5.0.1 software was used for data analyses.
RESULTS AND CONCLUSION: A total of 12 studies involving 1 748 patients were included. The results of meta-analyses showed that there were no significant differences in the treatment outcome and the operation time between open lumbar disectomy and microendoscopy discectomy; microendoscopy discectomy was superior to open lumbar disectomy in intraoperative blood loss, time in hospital and the time out of bed after operation. Microendoscopy discectomy is an ideal minimally invasive surgery to treat lumbar disc herniation.

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