Retroperitoneoscopic lumbar sympathectomy with balloon dissection: clinical experience.
OBJECTIVE
To describe our technique and clinical experience of retroperitoneoscopic lumbar sympathectomy with balloon dissection.


METHODS
From 1995 to 1999, 23 procedures were performed.


RESULTS
No complications were noted. The median hospital stay was 4 days. Of the 23 attempts, 2 had to be converted to open technique. Histologic examination demonstrated interruption of the sympathetic chain in 22 of the 23 cases and absence of nervous tissue in 1.


CONCLUSIONS
Once the technique is mastered, it can be performed fast, and it offers patients the benefits of a minimally invasive approach without the inconsistent therapeutic results of chemical sympathectomy.
Debing
E
E
Department of Vascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Brussels, Belgium. cvatdge@az.vub.ac.be
Simoens
C
C
Van den Brande
P
P
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008160:Lumbosacral Plexus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D013562:Sympathectomy / Q000379:methods*