Table 1

List of endoscopy studies included into the meta-analysis with brief summary of study highlights.

No.AuthorsYearTitleReferenceStudy Highlights
1.Ahn Y, Keum HJ, et al5 2019Transforaminal endoscopic decompression for lumbar lateral recess stenosis: an advanced surgical technique and clinical outcomes World Neurosurg. 2019;125:e916–e924.Retrospective 2-y follow-up study on 45 patients treated with transforaminal endoscopic decompression for lumbar lateral recess stenosis.
2.Ahn Y, Lee SG, et al102 2019Transforaminal endoscopic lumbar discectomy vs open lumbar microdiscectomy: a comparative cohort study with a 5-year follow-up Pain Physician. 2019;22:295–304.Long-term prospective outcome analysis of PELD vs microdiscectomy on 335 with 5-y follow-up.
3.Bai YB, Xu L, et al103 2012Diagnosis and treatment of lumbar disc herniation by discography and percutaneous transforaminal endoscopic surgery Zhonghua Yi Xue Za Zhi. 2012;92:3350–3353.Retrospective analysis (26 mo) of 119 LDH patients by discography and transforaminal PELD surgery.
4.Choi G, Lee SH, et al104 2007Percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations: extraforaminal targeted fragmentectomy technique using working channel endoscope Spine (Phila Pa 1976). 2007;32:E93–E99.A retrospective analysis (34.1 mo follow-up) of 41 patients with soft lumbar extraforaminal disc herniations treated by endoscopic extraforaminal approach under local anesthesia.
5.Choi G, Modi HN, et al105 2013Clinical results of XMR-assisted percutaneous transforaminal endoscopic lumbar discectomy J Orthop Surg Res. 2013;8:14.Prospective study on 89 patients (2-y follow-up) undergoing PELD for LDH in an operative suite equipment with fluoroscopic and magnetic resonance imaging.
6.Choi KC, Kim JS, et al106 2016Percutaneous endoscopic lumbar discectomy as an alternative to open lumbar microdiscectomy for large lumbar disc herniation Pain Physician. 2016;19:E291–E300.Retrospective observational study (2-y follow-up) on 20 endoscopic and 23 open lumbar discectomy patients.
7.Choi KC and Park CK107 2016Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation: consideration of the relation between the iliac crest and L5-S1 disc Pain Physician. 2016;19:E301–E308.Retrospective study on 51 patients (2-y follow-up) treated either with transforaminal PELD or interlaminar PELD.
8.Chung J, Kong C, et al7 2019Percutaneous endoscopic lumbar foraminoplasty for lumbar foraminal stenosis of elderly patients with unilateral radiculopathy: radiographic changes in magnetic resonance images J Neurol Surg A Cent Eur Neurosurg. 2019;80:302–311.Retrospective study (2-y follow-up) of 24 patients over 65 y of age who underwent percutaneous endoscopic lumbar foraminoplasty to treat unilateral radiculopathy caused by lumbar foraminal stenosis.
9.Dey PC and Nanda SN108 2019Functional outcome after endoscopic lumbar discectomy by Destandau’s technique: a prospective study of 614 patients Asian Spine J. 2019;13:786–792.Retrospective study on 614 patients who underwent endoscopic lumbar discectomy using Destandau endospine system after a minimum follow-up of 12 mo and maximum up to 54 mo.
10.Eun SS, Lee SH, et al109 2018Transforaminal percutaneous endoscopic lumbar diskectomy for downmigrated disk herniations: lever-up, rotate, and tilt technique J Neurol Surg A Cent Eur Neurosurg. 2018;79:163–168.Retrospective study (2-y follow-up) of 18 patients who underwent transforaminal PELD.
11.Gibson JNA, et al110 2017A randomized controlled trial of transforaminal endoscopic discectomy vs microdiscectomy Eur Spine J. 2017;26:847–856.Prospective trial on 143 patients, age 25–70 y with single-level lumbar prolapse and radiculopathy with 70 randomized transforaminal PELD under conscious sedation and another 70 patients to microdiscectomy under general anesthesia.
12.Kim HS, Adsul N, et al111 2018A mobile outside-in technique of transforaminal lumbar endoscopy for lumbar disc herniations J Vis Exp. 2018;(138):57999.Prospective study on mobile outside-in treatment of LDH in 184 consecutive patients with unilateral lower limb radiculopathy—19 ± 6 mo follow-up.
13.Kim JE and Choi DJ112 2018Biportal arthroscopic spinal surgery (BASS) with 30 degrees arthroscopy for far lateral approach of L5-S1 - technical note J Orthop. 2018;15:354–358.Retrospective study on 12 patients with far lateral approach of biportal arthroscopic technique using 30 degrees arthroscopy for foraminal decompression of L5-S1.
14.Komp M, Hahn P, et al113 2014Operation of lumbar zygoapophyseal joint cysts using a full-endoscopic interlaminar and transforaminal approach: prospective 2-year results of 74 patients Surg Innov. 2014;21:605–614.Prospective study (2-y follow-up) of 74 full-endoscopic interlaminar and transforaminal PELD patients treat for lumbar z-joint cysts.
15.Lee SH and Kang HS30 2010Percutaneous endoscopic laser annuloplasty for discogenic low back pain World Neurosurg. 2010;73:198–206.Retrospective study on 37 patients treated at a single-level laser-assisted spinal endoscopy vs percutaneous endoscopic laser annuloplasty with a mean follow-up of 9.7 mo.
16.Lewandrowski KU, de Carvalho PST, et al127 2020Outcomes with transforaminal endoscopic vs percutaneous laser decompression for contained lumbar herniated disc: a survival analysis of treatment benefit J Spine Surg. 2020;6:S84–S99.Retrospective study of 248 patients consisting of 162 patients in the endoscopic group and 86 patients in the laser discectomy group with average 43.5 mo follow-up.
17.Li H, Jiang C, et al114 2018Comparison of MED and PELD in the treatment of adolescent lumbar disc herniation: A 5-year retrospective follow-up World Neurosurg. 2018;112:e255–e260.Retrospective study (48 mo follow-up) comparing the efficacy and safety of MED (30 patients) and PELD (48 patients) in the treatment of ALDH.
18.Liu C, Chu L, et al115 2017Percutaneous endoscopic lumbar discectomy for highly migrated lumbar disc herniation Pain Physician. 2017;20:E75–E84.Retrospective study (3 mo follow-up) on 73 patients with highly migrated LDH treated with PELD comparing 3 approaches.
19.Pan F, Shen B, et al116 2016Transforaminal endoscopic system technique for discogenic low back pain: a prospective cohort study Int J Surg 2016;35:134–138.Retrospective consecutive case series with 62 patients with 1-level discogenic low back pain with 26.8 ± 4.2 mo follow-up.
20.Soliman HM117 2013Irrigation endoscopic discectomy: a novel percutaneous approach for lumbar disc prolapse Eur Spine J. 2013;22:1037–1044.Prospective case series of 43 patients with uncontained LDH underwent irrigation endoscopic discectomy surgery with 24 mo follow-up.
21.Song H, Hu W, et al118 2017Percutaneous endoscopic interlaminar discectomy of L5-S1 disc herniation: a comparison between intermittent endoscopy technique and full endoscopy technique J Orthop Surg Res. 2017;12:162.Retrospective study comparing full endoscopy technique (65 patients) or intermittent endoscopy technique (61 patients) with average 27 mo follow-up.
22.Teli M, Lovi A, et al119 2017Higher risk of dural tears and recurrent herniation with lumbar microendoscopic discectomy Eur Spine J. 2010;19:443–450.Randomized controlled trial of 240 patients was randomized to microendoscopic (group 1), micro (group 2), or open (group 3) discectomy with minimum 2-y follow-up.
23.Tu Z, Li YW, et al120 2010Clinical outcome of full-endoscopic interlaminar discectomy for single-level lumbar disc herniation: a minimum of 5-year follow-up Pain Physician. 2017;20:E425–E430.Retrospective study of 152 patients with single-level LDH located at either L4-L5 or L5-S1 who underwent either FEID (72 patients) or MED (80 patients) with >5-y follow-up.
24.Tu Z, Wang B, et al121 2018Early experience of full-endoscopic interlaminar discectomy for adolescent lumbar disc herniation with sciatic scoliosis Pain Physician. 2018;21:E63–E70.Retrospective case series of patients under age 20 with single-level ALDH with and without scoliosis treated with FEID. Average follow-up 39 mo.
25.Wang Y, Zhang W, et al122 2018Transforaminal endoscopic discectomy for treatment of central disc herniation: surgical techniques and clinical outcome Pain Physician. 2018;21:E113–E123.Retrospective 2-y follow-up study of 69 consecutive patients treated with transforaminal PELD central disc herniation.
26.Wang YP, Zhang W, et al123 2016Evaluation of transforaminal endoscopic discectomy in treatment of obese patients with lumbar disc herniation Med Sci Monit. 2016;22:2513–2519.Prospective study of 69 obese patients with LDH (35 men and 34 women; age range, 24–43 y) treated for LDH with PELD.
27.Xu B, Xu H, et al124 2018Bilateral decompression and intervertebral fusion via unilateral fenestration for complex lumbar spinal stenosis with a mobile microendoscopic technique Medicine (Baltimore). 2018;97:e9715.Retrospective 3-y follow-up study on 61 patients with complex lumbar spinal stenosis (lumbar canal stenosis combined with degenerative spondylolisthesis, instability, and scoliosis) treated with Destandau-type mobile microendoscopic discectomy.
28.Youn MS, Shin JK, et al125 2018Endoscopic posterior decompression under local anesthesia for degenerative lumbar spinal stenosis J Neurosurg Spine. 2018;29:661–666.Retrospective study of 50 patients (28 women and 22 men) treated for LDH with endoscopic posterior decompression under local anesthesia followed up to 24 mo postoperatively.
29.Zhang B, Kong Q, et al126 2019Short-term effectiveness of percutaneous endoscopic transforaminal bilateral decompression for severe central lumbar spinal stenosis Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019;33:1399–1405.Retrospective study on effectiveness and safety of bilateral transforaminal bilateral PELD decompression for severe central lumbar spinal stenosis in 44 patients with average follow-up of 24.8 mo.
  • ALDH, adolescent lumbar disc herniation; FEID, full-endoscopic interlaminar discectomy; LDH, lumbar disc herniation; MED, minimally endoscopic discectomy; PELD, percutaneous endoscopic lumbar discectomy.