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Minimally Invasive Endoscopic Spine Surgery
Minimally Invasive Endoscopic Spine Surgery
Dr. Chang Chien-Chun and his team are proud to be recognized as one of the international training centers for minimally invasive endoscopic spine surgery. Many patients hesitate when faced with the recommendation for spine surgery, fearing large incisions, long recovery times, and significant postoperative pain associated with traditional open surgeries.

Today, minimally invasive endoscopic spine surgery has evolved significantly, offering patients an alternative that involves smaller incisions and reduced nerve damage. Common indications for this procedure include lower back pain, sciatica, and lumbar spine disorders.

◎Key Advantages of Surgery
-Incision size: only 1 cm
-Same-day ambulation
-Discharge the following day
-No rehabilitation required

Endoscopic Spine Surgery: Smaller Incisions, Less Trauma!
Traditional spine surgeries, also known as "open surgeries," require larger incisions, often leading to more significant muscle and soft tissue damage. This results in increased postoperative pain and a longer recovery period.
In contrast, minimally invasive endoscopic spine surgery utilizes an 8mm access route, minimizing tissue damage and shortening recovery time. Enhanced by endoscopic technology, the surgical field is magnified up to 64 times, allowing for precise navigation and minimal disruption to surrounding tissues. This significantly improves surgical safety and efficacy.
MIS surgery
Up the same day
Home the next day
Minimal incision

Illustrating Endoscopic Surgery: A Visual Comparison
  • Less Damage
  • Smaller Incisions

Comparing Traditional Open Surgery and 3D Computer-Assisted Minimally Invasive Endoscopic Spine Surgery

  Conventional Surgery 3D Computer-assisted Endoscopic Surgery
Blood Loss 500ml 10ml
Incision Size 5-10cm 8mm
Anesthesia Method General Anesthesia Local or General Anesthesia
Hospital Stay At least 4-6 Days 2 days
Postoperative Rehab Longer Recovery Period No need
Q&A

Q1.What is the difference between minimally invasive endoscopic spine surgery and traditional spine surgery?+

Advantages of minimally invasive endoscopic spine surgery include:

  1. Less tissue damage: Compared to traditional surgery, the surgical pathway is only 8mm wide, resulting in minimal soft tissue and muscle disruption. Most patients can get out of bed on the day of surgery and be discharged the same day or the next day. Retrospective studies have shown that, compared to traditional surgery, endoscopic surgery allows patients to return to work sooner, experience less postoperative back pain, have shorter hospital stays, and spend less time in surgery.
  2. Smaller incisions: The incision is approximately 1cm.
  3. Option for local anesthesia: Surgery can potentially be performed under local anesthesia, reducing the risk of nerve injury during the procedure.
  4. Enhanced visualization: The magnification provided during surgery allows for clearer visibility of nerves, reducing the risk of nerve injury.

Q2.How soon can I get out of bed after spine surgery?+

Minimally invasive spine surgery allows patients to get out of bed sooner than with traditional surgery. Approximately 98% of patients can get out of bed the day after surgery.

The hospital stay ranges from 1 to 5 days post-surgery, depending on the patient’s condition and the type of procedure.

As literature suggests, minimally invasive surgery significantly shortens both hospital stays and recovery periods.

Regarding rehabilitation, due to reduced soft tissue damage, the rehabilitation period is greatly shortened. In some cases, rehabilitation may not even be necessary.

Q3.How soon can I be discharged after minimally invasive spine surgery? How long does it take to recover? Is rehabilitation necessary?+

Minimally invasive spine surgery allows for a faster discharge compared to traditional surgery. The hospital stay typically ranges from 1 to 7 days after surgery, depending on the patient’s condition and the type of procedure performed.

Overall, research shows that minimally invasive surgery significantly shortens both hospital stays and recovery periods compared to traditional surgery.

Regarding rehabilitation, due to less soft tissue damage, the recovery time is significantly reduced. Some patients may not require any rehabilitation following minimally invasive procedures.

Success Case
Endoscopic Spine Surgery—Elderly Patient with Chronic Conditions

Endoscopic Spine Surgery—Elderly Patient with Chronic Conditions

Safe Minimally Invasive Treatment for a 77-Year-Old with Spinal Stenosis

Endoscopic Spine Surgery—Severe Herniated Disc

Endoscopic Spine Surgery—Severe Herniated Disc

Treating Severe Herniated Discs in a 45-Year-Old with Minimally Invasive Surgery

Endoscopic Spine Surgery—Chronic Lumbar Disc Pain in the Elderly

Endoscopic Spine Surgery—Chronic Lumbar Disc Pain in the Elderly

Chronic Back Pain in a 70-Year-Old, Resolved with Minimally Invasive Surgery

Endoscopic Spine Surgery—Herniated Disc from Prolonged Heavy Lifting

Endoscopic Spine Surgery—Herniated Disc from Prolonged Heavy Lifting

A Solution for Herniated Discs and Severe Back Pain

Endoscopic Spine Surgery—Chronic Lower Back Pain

Endoscopic Spine Surgery—Chronic Lower Back Pain

Herniated Disc Leading to Chronic Pain, Finally Resolved

Endoscopic Spine Surgery—Revision Cervical Spine Surgery

Endoscopic Spine Surgery—Revision Cervical Spine Surgery

Computer-Assisted Endoscopic Cervical Decompression Surgery

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