{
  "abstract": "Background\n\nFar lateral lumbar disc herniation (FLLDH) accounts for 7%-12% of lumbar disc herniations, causing significant radicular pain, hypoesthesia, and muscle weakness. Due to its lateral location, traditional open surgery has limitations, including extensive tissue disruption and long recovery times. Minimally invasive techniques, such as The Delta large-channel endoscopy and percutaneous endoscopic lumbar discectomy (PELD), have emerged as alternatives, but there is limited comparative evidence on their efficacy for FLLDH.Methods\n\nThis retrospective study included 78 patients with FLLDH, divided into two groups: 39 patients underwent the Delta large-channel endoscopy and 39 underwent PELD. The study compared both procedures in terms of operation time, blood loss, postoperative recovery, pain relief, functional improvement, and complications. All patients had failed conservative treatment and were diagnosed with FLLDH based on MRI and CT scans.Results\n\nBoth surgical methods significantly improved pain and function. The Delta large-channel endoscopy group had longer operation times and more blood loss, but fewer fluoroscopies. Postoperative pain and functional recovery, assessed using VAS and ODI scores, were similar across both groups. The excellent/good rate based on the MacNab criteria was 92.31% for the Delta large-channel endoscopy and 84.62% for PELD, with no significant differences.Conclusions\n\nBoth Delta large-channel endoscopy and PELD effectively relieved pain and improved function in FLLDH patients. The Delta large-channel endoscopy, though requiring longer operation times, showed advantages in early recovery and more thorough decompression for complex cases. The choice of technique should depend on lesion characteristics and surgeon expertise.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedics, Zhenjiang First People's Hospital, Zhenjiang, Jiangsu, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yong Xu"
    },
    {
      "affs": [
        0
      ],
      "name": "Yilei Zhao"
    },
    {
      "affs": [
        0
      ],
      "name": "Qinyi Jiang"
    },
    {
      "affs": [
        0
      ],
      "name": "Kangjia Yang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2pye7qghfem7a.bib",
  "cited_by": 0,
  "doi": "10.3389/fsurg.2026.1902290",
  "fulltext_url": "https://europepmc.org/articles/PMC13710398",
  "id": "2pye7qghfem7a",
  "issns": [
    "2296-875X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42948141",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2734|Spine and Intervertebral Disc Pathology"
    ]
  ],
  "openalex": "W7221634980",
  "pdf_url": "https://europepmc.org/articles/PMC13710398?pdf=render",
  "pmcid": "PMC13710398",
  "pmid": "42948141",
  "published": "2026-10-13",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/2pye7qghfem7a.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:34Z",
      "native_id": "MED:42948141",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42948141"
    },
    {
      "first_seen": "2026-10-31T12:21:22Z",
      "native_id": "PMC13710398",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fsurg.2026.1902290"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Spinal Fractures and Fixation Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Clinical efficacy of Delta large-channel endoscopy versus percutaneous endoscopic lumbar discectomy in treating far lateral lumbar disc herniation: a retrospective study.",
  "title_text": "Clinical efficacy of Delta large-channel endoscopy versus percutaneous endoscopic lumbar discectomy in treating far lateral lumbar disc herniation: a retrospective study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:21:22Z",
  "url": "https://research.draconitic.com/paper/2pye7qghfem7a",
  "venue": "Frontiers in surgery",
  "versions": []
}