Bulletin of Stomatology and Maxillofacial Surgery
2025; 196–203
Shared with The Gufo

A SYSTEMATIC LITERATURE REVIEW AND META-ANALYSIS OF BIPORTAL ENDOSCOPY VERSUS MICROSCOPIC DISCECTOMY IN LUMBAR DISC HERNIATION SURGERY: A COMPARATIVE ASSESSMENT OF OUTCOMES

Ajid Risdianto*, Happy Kurnia, Suhartono Damas, Antonius Santoso, M Thohar Arifin

1Doctoral Study Program at Medical Science and Health Science, Universitas Diponegoro/Neurospine Surgery Division of Neurosurgery Department, Kariadi Hospital, Semarang, Indonesia · Faculty of Medicine, Universitas Diponegoro /Kariadi Hospital, Semarang, Indonesia · Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia · 3Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Received: 2025-09-25 · Published: 2025-09-05

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Shared article.
Original title
A SYSTEMATIC LITERATURE REVIEW AND META-ANALYSIS OF BIPORTAL ENDOSCOPY VERSUS MICROSCOPIC DISCECTOMY IN LUMBAR DISC HERNIATION SURGERY: A COMPARATIVE ASSESSMENT OF OUTCOMES
Authors
Ajid Risdianto, Happy Kurnia, Suhartono Damas, Antonius Santoso, M Thohar Arifin
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-09-05
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.8-196

Abstract

Background: Biportal Endoscopic Spine Surgery (BESS) is an emerging minimally invasive alternative to Microscopic Discectomy (MD) for lumbar disc herniation (LDH). However, the comparative effectiveness of BESS versus MD remains uncertain. Methods: Following PRISMA guidelines, we searched PubMed, EBSCOhost, and Scopus (2000-2024). We included studies comparing BESS and MD for LDH. Outcomes analyzed were operative time, blood loss, postoperative pain (VAS), functional recovery (ODI), hospital stay, and complication rates. A random-effects metaanalysis was performed. Methods: Following PRISMA guidelines, we searched PubMed, EBSCOhost, and Scopus (2000-2024). We included studies comparing BESS and MD for LDH. Outcomes analyzed were operative time, blood loss, postoperative pain (VAS), functional recovery (ODI), hospital stay, and complication rates. A random-effects meta-analysis was performed. Results: Four studies (n = 252 patients) were included. BESS was associated with a significantly shorter hospital stay but a longer operative time. Differences in pain reduction (VAS) and functional recovery (ODI) favored BESS but were not statistically significant. Bleeding and mJOA scores showed high heterogeneity and non-significant differences. Conclusion: BESS offers potential benefits in hospital stay and recovery but lacks definitive superiority over MD. Larger, high-quality RCTs are needed to draw firmer conclusions.
1 / ? 100% Open in new tab Download Cite

Loading the full text…

Download Follow Updates