Abstract | BACKGROUND AND OBJECTIVES: METHODS: Thirty thoracoscopic dorsal sympathectomies (17 left- and 13 right-sided) were performed in a tertiary medical center in 5 women and 20 men (mean age, 41 years) between July 2010 and February 2013. RESULTS: The mean operative time was 30 minutes, and the mean hospital stay was 52 hours. There were no complications. All patients had improvement in pain and were relapse-free after a mean follow-up period of 11.63 months. DISCUSSION: Thoracoscopic dorsal sympathectomy reduces pain significantly by reducing peripheral resistance and promoting collateral development. The increased magnification of the thoracoscopic approach permits better visualization, ensuring complete excision and therefore good results. Thoracoscopic dorsal sympathectomy for Buerger disease of the upper limb is a safe and effective treatment.
|
Authors | Reena Kothari, Dhananjaya Sharma, Dileep Singh Thakur, Vinod Kumar, Uday Somashekar |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2014 Apr-Jun
Vol. 18
Issue 2
Pg. 273-6
ISSN: 1938-3797 [Electronic] United States |
PMID | 24960492
(Publication Type: Journal Article)
|
Topics |
- Adult
- Female
- Humans
- Male
- Middle Aged
- Sympathectomy
(methods)
- Thoracoscopy
(methods)
- Thromboangiitis Obliterans
(surgery)
- Treatment Outcome
- Upper Extremity
|