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Yang. Mini-invasive Surg 2017;1:106-8 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2017.16
www.misjournal.net
Topic: Percutaneous endoscopic system for spinal diseases Open Access

Training system of percutaneous endoscopic

lumbar discectomy in China

De-Hong Yang
Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China.

Correspondence to: Dr. De-Hong Yang, Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong,
China. E-mail: drmyang@yahoo.com

How to cite this article: Yang DH. Training system of percutaneous endoscopic lumbar discectomy in China. Mini-invasive Surg 2017;1:106-8.
Article history: Received: 18 Apr 2017 Accepted: 4 Jul 2017 Published: 30 Sep 2017

Dr. Yang is the chief physician and professor in Department of Spinal Surgery, Nanfang hospital, South Medical
University, Guangdong Province, China. He obtained MD in the 4th Military Medical University in Xi’an, China and
PhD degree in Southern Medical University in Guangdong, China. From 2002 to 2007, He was a visiting scholar
at Massachusetts General Hospital & Harvard Medical School and he was employed as a staff (instructor) in
Harvard University in 2007. His research interests are minimal invasive spinal surgery, degenerative spine disease
and osteoporosis.

Percutaneous endoscopic lumbar discectomy (PELD) from open surgery. In the open operation, the close
is by far the most minimally invasive technique for collaboration between responsible and assistant
lumbar disc herniation. The small incision, short doctors gives the assistant a lot of opportunities to
recovery time, relatively low cost and low surgical practice during the operation. PELD operation is an
morbidity make this technique attractive for both one person performance, the forcep holder deal
doctors and patients. However, the technique is still with everything and assistant does not have any
unfamiliar to doctors, even those with many years of real practice. However, once the beginner stands by
experience in spine surgery. In brief, the core of this the patient and holds the instruments, he has to rely
technique is “placing the working cannula in right mostly on himself. Consequently, the initial learning
location and forceping out the herniated disc” based process is a technical challenge that it is thought to be
on our own experience. However, surgeons, especially insurmountable for some surgeons. The slow learning
beginners, sometimes get “lost” in their operations, curve, long hands-on training time, together with
which can result in complications such nerve damage, insufficient training source, discourages doctors to
disc fragment left over, etc. adopt PELD technique. Therefore, quite a few doctors
chose open surgery rather than PELD to treat lumbar
For many surgeons, the PELD technique is challenging disc herniation, because they were more confident
to learn because the training process is different with their open surgery techniques instead of PELD.

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