Gruss J D, Bartels D, Stojanovic R
J Chir (Paris). 1976;112(5):307-14.
Between the 1st of July 1971 and the 31st of December 1974, among 1,459 operations on vascular surgery, we carried out 77 thoracic sympathectomies in 46 patients. In most patients there was an oblitering angiopathie of digital type, stage II to IV, confirmed by angiography. Two patients had mixed type obstructions, two others had hyperhidrosis, one patient suffered from cleroderma, another had a thoracic outlet syndrome with digital arterial obstruction. In all cases, the transaxillary approach was that which caused the least complications and which permitted satisfactory exposure of the sympathetic nerve. The cosmetic results were good. The second and third thoracic ganglia were resected and the planes of cleavage marked with silver clips. In advanced stage III and stage IV, we noted 92 p. 100 improvements i.e. return to stages I or II. The operative mortality was nil. The most serious complication was a case of hemothorax which required later pulmonary decortication. We noted in two cases, a Horner's syndrome.
在1971年7月1日至1974年12月31日期间，在1459例血管外科手术中，我们对46例患者实施了77例胸交感神经切除术。大多数患者患有数字型闭塞性血管病，经血管造影证实为II至IV期。2例患者为混合型梗阻，另外2例有多汗症，1例患有硬皮病，另1例患有伴有指动脉梗阻的胸廓出口综合征。在所有病例中，经腋窝入路引起的并发症最少，并且能够满意地暴露交感神经。美容效果良好。切除第二和第三胸神经节，并用银夹标记分离平面。在III期和IV期晚期，我们注意到有92%的改善，即恢复到I期或II期。手术死亡率为零。最严重的并发症是1例血胸，后来需要进行肺剥脱术。我们在2例中注意到有霍纳综合征。
