Master Techniques in Minimally Invasive Spine Surgery: Lumbar Endoscopic Spine Surgery

Area of Science:

• Minimally Invasive Spine Surgery
• Surgical Education

Background:

• The adoption of lumbar endoscopic spine surgery (LESS) techniques is hindered by a steep learning curve.
• Mastering LESS requires detailed understanding of specific surgical approaches and potential challenges.

Purpose of the Study:

• To provide a comprehensive guide for LESS techniques, focusing on overcoming learning curve obstacles.
• To facilitate the successful completion of the first LESS case through structured training.

Main Methods:

• Detailed step-by-step descriptions of uniportal transforaminal and uniportal/biportal interlaminar LESS techniques.
• Emphasis on challenging aspects of the learning curve.
• Utilization of electronic checklists with interactive visuals (photos, animations) for instruments, room setup, and anatomy.

Main Results:

• The guide addresses logistical challenges for the initial surgical case.
• Interactive elements aim to improve staff identification of equipment and understanding of surgical procedures.
• The training program is designed to support surgeons in performing their first LESS procedure effectively.

Conclusions:

• This technique guide and comprehensive training program aim to simplify the adoption of LESS.
• By addressing specific learning curve challenges and logistical hurdles, the program seeks to improve surgical outcomes and proficiency.