Retroperitoneoscopic lumbar sympathectomy

Journal of Vascular Surgery
Nahum BeglaibterH R Freund

Abstract

We present a series of 27 consecutive unselected patients who underwent 29 retroperitoneoscopic lumbar sympathectomies. There were 21 male patients and six female patients, with a mean age of 45 years (RANGE, 21 to 28 years). Twenty-two patients had ischemia of the lower limb, and five patients had severe reflex sympathetic dystrophy. The retroperitoneal space was developed with a balloon trocar inserted through a small incision in the flank. Additional trocars used for endoscopic instruments. The sympathetic chain from the ganglia second lumbar vertebrae to the fourth lumbar vertebrae was resected. The procedure was successfully accomplished in all the patients without any operative or postoperative complications. The mean operative time Was 136 minutes, and the mean hospital stay was 1.4 days. All the patients had significant improvement of pain or dystrophic changes. Retroperitoneoscopic lumbar sympathectomy successfully combines the advantages of minimally invasive surgery with the effectiveness of the open procedure.

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Citations

Dec 1, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marlos CoelhoAníbal Wood Branco
Sep 29, 2006·Radiology·Marius R SchmidJuerg Hodler
Jul 28, 2009·Journal of the American College of Surgeons·Kalpesh Jani
Feb 8, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I JaverliatO Goëau-Brissonnière
Aug 24, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Rafael Reisfeld
Dec 1, 2004·Journal of Spinal Disorders & Techniques·Akira OndaShinichi Kikuchi

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