[Video-controlled, retroperitoneoscopic, lumbar sympathectomy and sympathicotomy].
Six patients with arterial occlusions of the legs underwent VRLS: a small incision is made in the flank, the retroperitoneum pushed aside with a 1.5-1-balloon catheter, the lumbar sympathicus endoscopically severed and/or partially excised with video assistance. The intervention was successful in all cases. Excised parts of the sympathetic trunk were demonstrated histologically in four cases. One case of severe bleeding from a lumbar artery was stopped endoscopically, and one patient underwent additional open resection of 2 cm of the sympathetic trunk. Postoperative intestinal paralysis lasted a mean of two days, and hospitalization five days. VRLS has several disadvantages for the surgeon, while its lesser strain and earlier rehabilitation are a definite advantage for the patient.
Abteilung für Gefässchirurgie, I. Universitätsklinik für Chirurgie, Innsbruck.
H
H
Biedermann
G
G
Janetschek
G
G
Flora
D000368:Aged; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D020706:Laparoscopes; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012039:Regional Blood Flow / Q000502:physiology; D013525:Surgical Instruments; D013562:Sympathectomy / Q000295:instrumentation*; D014741:Video Recording / Q000295:instrumentation*
Videokontrollierte, retroperitoneoskopische, lumbale Sympathektomie und Sympathicotomie (VRLS).