title: [Minimal invasive lumbar sympathectomy--technique and outcome, retroperitoneoscopic approach]].
abstract: Peripheral vascular obliteration of the leg provides an indication for a retroperitoneoscopic lumbal sympathectomy initially using a balloon dilator to create a transitional retroperitoneal cavity. After introducing carbon dioxide and two 5-mm instruments, we perform the resection and extirpation of the lumbal sympathetic nerve from L 2 to L 4. No complications occurred in 29 patients except conversion to open surgery in two cases because of gas loss into the peritoneum after causing peritoneal lesions.
authors.affiliation: Klinik für Chirurgie, Klinikum Südstadt Rostock.
authors.forename: M
authors.initials: M
authors.lastname: Jantschulev
authors.forename: H D
authors.initials: HD
authors.lastname: Czarnetzki
authors.forename: P
authors.initials: P
authors.lastname: Schwanitz
mesh_terms: D001157:Arterial Occlusive Diseases / Q000601:surgery*; D019723:Endoscopes; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008161:Lumbosacral Region; D019060:Minimally Invasive Surgical Procedures; D013562:Sympathectomy / Q000295:instrumentation*
vernacular_title: Die minimal-invasive lumbale Sympathektomie--Technik und Ergebnisse, retroperitoneoskopischer Zugang.