Retroperitoneoscopic lumbar sympathectomy for nonreconstructable arterial occlusive disease.
Minerva Chir
; 61(5): 409-15, 2006 Oct.
Article
en En, It
| MEDLINE
| ID: mdl-17159749
AIM: The aim of this study was to present our experience with video-assisted lumbar sympathectomy for non-reconstructive arterial occlusive disease in a series of 23 consecutive patients whose predominant symptoms were unilateral rest pain, limited skin ulcerations or gangrene of the toes. METHODS: All the procedures were performed with retroperitoneal approach, dorsal position of the patient and simple digital dissection of the retroperitoneal space. RESULTS: The operations were successfully performed in all patients except for 2, who immediately underwent open conversion. A urinoma caused by ureteral lesion was the only severe complication in this series. The mean operative time of the procedure was 55 min and the hospital stay was 2 or 3 days. No parenteral analgesics were administered postoperatively. At 1 month from operation, 20 patients out of 23 had significant relief of rest pain and improvement of ischemic lesions. After a median follow-up of 36 months, 2 patients had died, 4 underwent some type of distal amputation, 1 had recurrent rest pain and the other 16 reported persistent improvement of pain or dystrophic changes. CONCLUSIONS: Retro-peritoneoscopic technique appears the modern and less invasive version of the lumbar surgical sympathectomy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Simpatectomía
/
Tromboangitis Obliterante
/
Laparoscopía
/
Plexo Lumbosacro
Tipo de estudio:
Observational_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
/
It
Revista:
Minerva Chir
Año:
2006
Tipo del documento:
Article
País de afiliación:
Italia
Pais de publicación:
Italia