Brief history, global trends, and Chinese mission of unilateral biportal endoscopy technique_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 YU Keyi

Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, 100037, P. R. China;

Corresponding?author：

YU Keyi, Email: Yukeyi009@126.com

Keywords：

Unilateral biportal endoscopy technique; spinal endoscopy; development trend

DOI：

10.7507/1002-1892.202207009

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The current unilateral biportal endoscopy (UBE) technique was originated from Argentina and developed in South Korea, which was rapidly growing and popularizing in China. The adoption of spinal endoscopy, using small cameras placed inside body with continuous water irrigation, providing better surgical field with less tissue dissection and quicker recovery for patients. As with other disciplines, the use of spinal endoscopy in spinal surgery will become increasingly widespread. UBE technique will promote the popularization of spinal endoscopy in China with monoportal endoscopy technique. At the same time, biportal endoscopy has better expansibility, the application of accessory incision may provide solution for more complicated spinal disease. Chinese spine surgeon should better understand the trends in spinal endoscopy, seize the opportunity of the rapidly evolving in spinal healthcare, and to promote the popularization of UBE across the globe.

Citation： YU Keyi. Brief history, global trends, and Chinese mission of unilateral biportal endoscopy technique. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(10): 1181-1185. doi: 10.7507/1002-1892.202207009 Copy

1.	Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: A preliminary report. Clin Orthop Relat Res, 1983, (174): 127-132.
2.	Kambin P, Schaffer JL. Percutaneous lumbar discectomy. Review of 100 patients and current practice. Clin Orthop Relat Res, 1989, (238): 24-34.
3.	Schreiber A, Suezawa Y, Leu H. Dose percutaneous nucleotomy with discoscopy replace coventional discectomy? Eight years of experience and results in the treatment of herniated lumbar disc. Clin Orthop Relat Res, 1989, (238): 35-42.
4.	De Antoni DJ, Claro ML, Poehling GG, et al. Translaminar lumbar epidural endoscopy: anatomy, technique, and indications. Arthroscopy, 1996, 12(3): 330-334.
5.	Osman SG, Marsolais EB. Endoscopic transiliac approach to L₅-S₁ disc and foramen. A cadaver study. Spine (Phila Pa 1976), 1997, 22(11): 1259-1263.
6.	Osman SG, Schwartz JA, Marsolais EB. Arthroscopic discectomy and interbody fusion of the thoracic spine: A report of ipsilateral 2-portal approach. Int J Spine Surg, 2012, 6: 103-109.
7.	許衛兵, 楊東方. 從 “脊髓鏡” 談到UBE/BESS: 追溯脊柱內鏡演化史. 骨科在線, 2020.10. 3. http://www.orthonline.com.cn/node/136969.
8.	Soliman HM. Irrigation endoscopic discectomy: a novel percutaneous approach for lumbar disc prolapse. Eur Spine J, 2013, 22(5): 1037-1044.
9.	Soliman HM. Irrigation endoscopic decompressive laminotomy. A new endoscopic approach for spinal stenosis decompression. Spine J, 2015, 15(10): 2282-2289.
10.	Soliman HM. Irrigation endoscopic assisted percutaneous pars repair: technical note. Spine J, 2016, 16(10): 1276-1281.
11.	Choi CM, Chung JT, Lee SJ, et al. How I do it? Biportal endoscopic spinal surgery (BESS) for treatment of lumbar spinal stenosis Acta Neurochir (Wien), 2016, 158(3): 459-463.
12.	Hwa Eum J, Hwa Heo D, Son SK, et al. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. J Neurosurg Spine, 2016, 24(4): 602-607.
13.	Park JH, Jun SG, Jung JT, et al. Posterior percutaneous endoscopic cervical foraminotomy and diskectomy with unilateral biportal endoscopy. Orthopedics, 2017, 40(5): e779-e783.
14.	Heo DH, Son SK, Eum JH, et al. Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results. Neurosurg Focus, 2017, 43(2): E8. doi: 10.3171/2017.5.FOCUS17146.
15.	Kim JE, Choi DJ. Bi-portal Arthroscopic Spinal Surgery (BASS) with 30° arthroscopy for far lateral approach of L₅-S₁-technical note. J Orthop, 2018, 15(2): 354-358.
16.	Heo DH, Eum JH, Jo JY, et al. Modified far lateral endoscopic transforaminal lumbar interbody fusion using a biportal endoscopic approach: technical report and preliminary results. Acta Neurochir (Wien), 2021, 163(4): 1205-1209.
17.	Simpson AK, Lightsey HM, Xiong GX, et al. Spinal endoscopy: evidence, techniques, global trends, and future projections. Spine J, 2022, 22(1): 64-74.
18.	Chu PL, Wang T, Zheng JL, et al. Global and current research trends of unilateral biportal endoscopy/biportal endoscopic spinal surgery in the treatment of lumbar degenerative diseases: A bibliometric and visualization study. Orthop Surg, 2022, 14(4): 635-643.
19.	Lin GX, Kotheeranurak V, Mahatthanatrakul A, et al. Worldwide research productivity in the field of full-endoscopic spine surgery: a bibliometric study. Eur Spine J, 2020, 29(1): 153-160.
20.	Kim JS, Yeung A, Lokanath YK, et al. Is Asia truly a hotspot of contemporary minimally invasive and endoscopic spinal surgery? J Spine Surg, 2020, 6(Suppl 1): S224-S236.
21.	Kim JE, Choi DJ, Park EJJ, et al. Biportal endoscopic spinal surgery for lumbar spinal stenosis. Asian Spine J, 2019, 13(2): 334-342.
22.	Yoon JW, Wang MY. The evolution of minimally invasive spine surgery. J Neurosurg Spine, 2019, 30: 149-158.
23.	張璨, 菅鳳增, 陳贊. 雙通道椎間孔鏡技術治療腰椎管狹窄癥的初步臨床研究. 中國微侵襲神經外科雜志, 2019, 24(6): 260-263.
24.	田大勝, 劉建軍, 朱斌, 等. 單邊雙通道內鏡技術治療腰椎間盤突出癥和腰椎椎管狹窄癥. 中華骨科雜志, 2020, 40(17): 1155-1164.
25.	王牧川, 余可誼, 仉建國, 等. 雙通道脊柱內鏡技術的應用及進展. 中華外科雜志, 2020, 58(11): 892-896.
26.	Zhu C, Cheng W, Wang D, et al. A helpful third portal for unilateral biportal endoscopic decompression in patients with cervical spondylotic myelopathy: A technical note. World Neurosurg, 2022, 161: 75-81.
27.	Zhu C, Wang J, Cheng W, et al. Case report: Bilateral biportal endoscopic open-door laminoplasty with the use of suture anchors: A technical report and literature review. Front Surg, 2022, 9: 913456. doi: 10.3389/fsurg.2022.913456.
28.	余可誼. 退行性脊柱疾病微創手術的進展. 中華骨與關節外科雜志, 2021, 14(5): 344-349.

1. Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: A preliminary report. Clin Orthop Relat Res, 1983, (174): 127-132.
2. Kambin P, Schaffer JL. Percutaneous lumbar discectomy. Review of 100 patients and current practice. Clin Orthop Relat Res, 1989, (238): 24-34.
3. Schreiber A, Suezawa Y, Leu H. Dose percutaneous nucleotomy with discoscopy replace coventional discectomy? Eight years of experience and results in the treatment of herniated lumbar disc. Clin Orthop Relat Res, 1989, (238): 35-42.
4. De Antoni DJ, Claro ML, Poehling GG, et al. Translaminar lumbar epidural endoscopy: anatomy, technique, and indications. Arthroscopy, 1996, 12(3): 330-334.
5. Osman SG, Marsolais EB. Endoscopic transiliac approach to L₅-S₁ disc and foramen. A cadaver study. Spine (Phila Pa 1976), 1997, 22(11): 1259-1263.
6. Osman SG, Schwartz JA, Marsolais EB. Arthroscopic discectomy and interbody fusion of the thoracic spine: A report of ipsilateral 2-portal approach. Int J Spine Surg, 2012, 6: 103-109.
7. 許衛兵, 楊東方. 從 “脊髓鏡” 談到UBE/BESS: 追溯脊柱內鏡演化史. 骨科在線, 2020.10. 3. http://www.orthonline.com.cn/node/136969.
8. Soliman HM. Irrigation endoscopic discectomy: a novel percutaneous approach for lumbar disc prolapse. Eur Spine J, 2013, 22(5): 1037-1044.
9. Soliman HM. Irrigation endoscopic decompressive laminotomy. A new endoscopic approach for spinal stenosis decompression. Spine J, 2015, 15(10): 2282-2289.
10. Soliman HM. Irrigation endoscopic assisted percutaneous pars repair: technical note. Spine J, 2016, 16(10): 1276-1281.
11. Choi CM, Chung JT, Lee SJ, et al. How I do it? Biportal endoscopic spinal surgery (BESS) for treatment of lumbar spinal stenosis Acta Neurochir (Wien), 2016, 158(3): 459-463.
12. Hwa Eum J, Hwa Heo D, Son SK, et al. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. J Neurosurg Spine, 2016, 24(4): 602-607.
13. Park JH, Jun SG, Jung JT, et al. Posterior percutaneous endoscopic cervical foraminotomy and diskectomy with unilateral biportal endoscopy. Orthopedics, 2017, 40(5): e779-e783.
14. Heo DH, Son SK, Eum JH, et al. Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results. Neurosurg Focus, 2017, 43(2): E8. doi: 10.3171/2017.5.FOCUS17146.
15. Kim JE, Choi DJ. Bi-portal Arthroscopic Spinal Surgery (BASS) with 30° arthroscopy for far lateral approach of L₅-S₁-technical note. J Orthop, 2018, 15(2): 354-358.
16. Heo DH, Eum JH, Jo JY, et al. Modified far lateral endoscopic transforaminal lumbar interbody fusion using a biportal endoscopic approach: technical report and preliminary results. Acta Neurochir (Wien), 2021, 163(4): 1205-1209.
17. Simpson AK, Lightsey HM, Xiong GX, et al. Spinal endoscopy: evidence, techniques, global trends, and future projections. Spine J, 2022, 22(1): 64-74.
18. Chu PL, Wang T, Zheng JL, et al. Global and current research trends of unilateral biportal endoscopy/biportal endoscopic spinal surgery in the treatment of lumbar degenerative diseases: A bibliometric and visualization study. Orthop Surg, 2022, 14(4): 635-643.
19. Lin GX, Kotheeranurak V, Mahatthanatrakul A, et al. Worldwide research productivity in the field of full-endoscopic spine surgery: a bibliometric study. Eur Spine J, 2020, 29(1): 153-160.
20. Kim JS, Yeung A, Lokanath YK, et al. Is Asia truly a hotspot of contemporary minimally invasive and endoscopic spinal surgery? J Spine Surg, 2020, 6(Suppl 1): S224-S236.
21. Kim JE, Choi DJ, Park EJJ, et al. Biportal endoscopic spinal surgery for lumbar spinal stenosis. Asian Spine J, 2019, 13(2): 334-342.
22. Yoon JW, Wang MY. The evolution of minimally invasive spine surgery. J Neurosurg Spine, 2019, 30: 149-158.
23. 張璨, 菅鳳增, 陳贊. 雙通道椎間孔鏡技術治療腰椎管狹窄癥的初步臨床研究. 中國微侵襲神經外科雜志, 2019, 24(6): 260-263.
24. 田大勝, 劉建軍, 朱斌, 等. 單邊雙通道內鏡技術治療腰椎間盤突出癥和腰椎椎管狹窄癥. 中華骨科雜志, 2020, 40(17): 1155-1164.
25. 王牧川, 余可誼, 仉建國, 等. 雙通道脊柱內鏡技術的應用及進展. 中華外科雜志, 2020, 58(11): 892-896.
26. Zhu C, Cheng W, Wang D, et al. A helpful third portal for unilateral biportal endoscopic decompression in patients with cervical spondylotic myelopathy: A technical note. World Neurosurg, 2022, 161: 75-81.
27. Zhu C, Wang J, Cheng W, et al. Case report: Bilateral biportal endoscopic open-door laminoplasty with the use of suture anchors: A technical report and literature review. Front Surg, 2022, 9: 913456. doi: 10.3389/fsurg.2022.913456.
28. 余可誼. 退行性脊柱疾病微創手術的進展. 中華骨與關節外科雜志, 2021, 14(5): 344-349.

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