Surgical instrument set for use during unilateral biportal endoscopy
Disclosed is a method of unilateral biportal endoscopy and a surgical instrument set used in the same. More particularly, the present invention relates to a method of unilateral biportal endoscopy which separately secures a working portal for surgical instruments and an endoscopic portal for an endoscope, thereby providing a more accurate spinal surgery, and to a surgical instrument set which can be effectively applied to the method.
1. A surgical instrument set used in unilateral biportal endoscopy, the surgical instrument set comprising:
a plurality of enlarging tubes having different diameters and configured to form two separate passageways including a working portal and an endoscopic portal that extend to a surgical site for progression of bidirectional vertebral endoscopic surgery;
a muscle detacher comprising a blade portion and a handle portion configured to detach a muscle from a bone at the surgical site by being inserted into one of the pathways secured by the enlarging tubes;
a root retractor comprising a first curved portion at a center of the root retractor, a second curved portion at an end of the root retractor configured to retract the muscle separated from the bone by the muscle detacher and to secure an additional working space and a grooved portion having a curvature facing opposite to a direction of curvature of the first curved portion; and
an endoscope configured to be inserted into the body through a remaining one of the pathways secured by the enlarging tubes and to capture an image of the surgical site, wherein the endoscope includes a sheath mechanism provided with a guide tube configured to control the direction of a saline solution during the unilateral biportal endoscopy.
2. The surgical instrument set of claim 1 , further comprising:
a double ended retractor comprising a handle portion located between two opposite tip portions located at each end configured to be inserted into a space created by the muscle detacher and to detach a nerve root from a bone or ligamentum flavum, the double ended retractor being selectively used during the unilateral biportal endoscopic surgery.
3. The surgical instrument set of claim 1 , further comprising:
a bone chip cannula provided with a collecting portion configured to collect and concentrate bone chips supplied from outside, and a guide tube portion connected to the collecting portion and extending in a lengthwise direction thereof, the guide tube portion configured to guide the bone chips to a disc in a state of reaching the surgical site through one of the pathways; and
a bone chip impactor comprising a tip portion at a front end and a handle portion at an end opposite of the tip portion configured to impact on the bone chips guided to a disc space such that the bone chips are seated in the disc.
4. The surgical instrument set of claim 1 , wherein the guide tube comprises a plurality of projections and a plurality of depressed portions at a front end which are configured to control the direction of a saline solution during the unilateral biportal endoscopy.