Transperitoneal laparoscopic approach to lumbar discectomy

Recognition of the benefits derived from laparoscopic cholecystectomy led to the evaluation of a laparoscopic approach to the lumbar disc space. Goals included minimizing postoperative pain and disability while still achieving adequate access to the disc space, including adequate discectomy under direct visualization. Described herein are the methods used to develop the laparoscopic exposure necessary to allow anterior resection of the lumbar disc, as well as preliminary results of the first 15 patients to undergo laparoscopic discectomy.