Related Experiment Video
Updated: Nov 17, 2025
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
How I do it? Full endoscopic transforaminal approach for lumbar disc herniation that migrated bilaterally to four
Ji Yeon Kim1, Su Yong Choi2, Hyeun-Sung Kim3
1Neurosurgery, Nanoori Hospital Gangnam, 731, Eonju-ro, Seoul, South Korea.
Background:
Despite of the evolution of endoscopic surgery, the literature on technique uniportal transforaminal endoscopic lumbar discectomy (TELD) for bilateral lesions is scarce.
Methods:
Unilateral TELD was performed in a patient with bilateral superior and inferior migrated, broad-based disc herniation presenting with an impaired neurological state. The key surgical steps focus on free mobility in Kambin triangle with the mobile outside-in technique and accessibility to contralateral lesions with an extensive annular resection procedure.
Conclusion:
TELD can be a surgical option for treating bilateral multiple direction migrated lumbar disc herniation with benefits of minimal neural retraction and facet joint preservation.
