Publication: Laparoscopic lumbar sympathectomy
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Issued Date
1997
Resource Type
File Type
application/pdf
ISSN
9302794
Other identifier(s)
2-s2.0-0031084905
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Surgical Endoscopy. Vol 11, No.3 (1997), p.257-260
Suggested Citation
Kathouda N., Wattanasirichaigoon S., Tang E., Yassini P., Ngaorungsri U. Laparoscopic lumbar sympathectomy. Surgical Endoscopy. Vol 11, No.3 (1997), p.257-260. doi:10.1007/s004649900338 Retrieved from: https://hdl.handle.net/20.500.14740/7348
Abstract
Background: Lumbar sympathectomy retains a role in the treatment of patients with causalgia, Symptomatic vasospasm, and nonreconstructable arterial occlusive disease. Open surgical sympathectomy, with its attendant morbidities, remains the standard. Chemical sympathectomy has been introduced as a less invasive means of achieving sympatholysis. However, this has been associated with incomplete and transient denervation. Methods: We present a series of five lumbar sympathectomies performed laparoscopically. Results: All patients sustained symptomatic relief and no postoperative complications were noted. Postoperative skin thermometry and resistance measurements confirmed adequacy of sympatholysis. Conclusion: We conclude that lumbar sympathectomy can be performed laparoscopically. Our preferred technique is now the extraperitoneal approach. Such an approach combines the durability and reliability of standard open sympathectomy with the minimal invasiveness of laparoscopic surgery.