Objective To review the application status, clinical advantages, and complications of unilateral biportal endoscopy (UBE) technique and explore its future development direction. Methods By reviewing recent domestic and international literature, the evolution history of UBE technique, its surgical advantages, and its application effectiveness in various spinal diseases were analyzed, providing a comprehensive review. Results UBE technique, with its unique dual-channel design, provides a clearer surgical field and more flexible operating space, significantly reduces surgical trauma and postoperative recovery time. UBE technique has demonstrated high safety and effectiveness in the treatment of lumbar disc herniation, spinal stenosis, lumbar instability, and cervical spondylosis. Additionally, the complication incidence of UBE surgery is lower than that of traditional open surgery. Conclusion In recent years, UBE technique has shown good clinical application prospects and efficacy, but further technical optimization and large-scale clinical research are still needed to ensure the safety and effectiveness. In the future, the combination of UBE technique and intelligent medical and surgical robotics technology is expected to promote the further development of spinal surgery.
Citation：
LIU Lu, ZHANG Xinuo, KANG Nan. Application status and considerations of unilateral biportal endoscopy technique. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(12): 1510-1516. doi: 10.7507/1002-1892.202408050
Copy
Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
| 1. |
|
| 2. |
|
| 3. |
|
| 4. |
Forst R, Hausmann B. Nucleoscopy—a new examination technique. Arch Orthop Trauma Surg (1978), 1983, 101(3): 219-221.
|
| 5. |
|
| 6. |
|
| 7. |
许卫兵, 杨东方. 从“脊髓镜”谈到UBE/BESS: 追溯脊柱内镜演化史. 2022. https://www.orthonline.com.cn/node/136969.
|
| 8. |
|
| 9. |
|
| 10. |
|
| 11. |
|
| 12. |
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.
|
| 13. |
International Society of Unilateral Biportal Endoscopy. Official website of ISUBE. https://www.isube.com.
|
| 14. |
|
| 15. |
吴肇汉, 秦新裕, 丁强, 等. 实用外科学. 4版. 北京: 人民卫生出版社, 2017: 2276-2280.
|
| 16. |
|
| 17. |
|
| 18. |
|
| 19. |
|
| 20. |
|
| 21. |
Nava-Dimaano HD. Put it into practice: the unilateral biportal endoscopic surgery//Quillo-Olvera J, Quillo-Olvera D, Quillo-Reséndiz J, et al. Unilateral biportal endoscopy of the spine: An atlas of surgical techniques. Cham: Springer, 2022: 149-181.
|
| 22. |
|
| 23. |
|
| 24. |
|
| 25. |
|
| 26. |
|
| 27. |
|
| 28. |
|
| 29. |
|
| 30. |
|
| 31. |
Son SK, Park MK. Unilateral biportal endoscopy for lumbar disc herniation and stenosis//Kebaish AN, McCarthy GK, Harris JMS. Core techniques of minimally invasive spine surgery. Singapore: Springer, 2023: 131-141.
|
| 32. |
|
| 33. |
|
| 34. |
|
| 35. |
|
| 36. |
|
| 37. |
|
| 38. |
|
| 39. |
|
| 40. |
|
| 41. |
|
| 42. |
|
| 43. |
Kang MS, Heo DH, Kim HB, et al. Biportal endoscopic technique for transforaminal lumbar interbody fusion: Review of current research. Int J Spine Surg, 2021, 15(suppl 3): S84-S92.
|
| 44. |
|
| 45. |
|
| 46. |
|
| 47. |
|
| 48. |
|
| 49. |
|
| 50. |
|
| 51. |
|
| 52. |
|
| 53. |
|
| 54. |
|
| 55. |
|
| 56. |
|
| 57. |
|
| 58. |
|
- 1.
- 2.
- 3.
- 4. Forst R, Hausmann B. Nucleoscopy—a new examination technique. Arch Orthop Trauma Surg (1978), 1983, 101(3): 219-221.
- 5.
- 6.
- 7. 许卫兵, 杨东方. 从“脊髓镜”谈到UBE/BESS: 追溯脊柱内镜演化史. 2022. https://www.orthonline.com.cn/node/136969.
- 8.
- 9.
- 10.
- 11.
- 12. 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.
- 13. International Society of Unilateral Biportal Endoscopy. Official website of ISUBE. https://www.isube.com.
- 14.
- 15. 吴肇汉, 秦新裕, 丁强, 等. 实用外科学. 4版. 北京: 人民卫生出版社, 2017: 2276-2280.
- 16.
- 17.
- 18.
- 19.
- 20.
- 21. Nava-Dimaano HD. Put it into practice: the unilateral biportal endoscopic surgery//Quillo-Olvera J, Quillo-Olvera D, Quillo-Reséndiz J, et al. Unilateral biportal endoscopy of the spine: An atlas of surgical techniques. Cham: Springer, 2022: 149-181.
- 22.
- 23.
- 24.
- 25.
- 26.
- 27.
- 28.
- 29.
- 30.
- 31. Son SK, Park MK. Unilateral biportal endoscopy for lumbar disc herniation and stenosis//Kebaish AN, McCarthy GK, Harris JMS. Core techniques of minimally invasive spine surgery. Singapore: Springer, 2023: 131-141.
- 32.
- 33.
- 34.
- 35.
- 36.
- 37.
- 38.
- 39.
- 40.
- 41.
- 42.
- 43. Kang MS, Heo DH, Kim HB, et al. Biportal endoscopic technique for transforaminal lumbar interbody fusion: Review of current research. Int J Spine Surg, 2021, 15(suppl 3): S84-S92.
- 44.
- 45.
- 46.
- 47.
- 48.
- 49.
- 50.
- 51.
- 52.
- 53.
- 54.
- 55.
- 56.
- 57.
- 58.
