Stádler P, Sebesta P
Odd. kardiovaskulární chirurgie, nemocnice Na Homolce, Praha.
Rozhl Chir. 2001 Mar;80(3):107-9.
The authors present a group of 48 thoracoscopic thoracic sympathectomies they performed in 35 patients between November 1997 and March 2000. A favourable effect was recorded in all operated patients where the defect healed or the blood supply of the upper extremities improved. Twice thoracoscopic resympathectomy was performed in a patient 15 years after classical upper thoracic sympathectomy [2] from the supraclavicular space. Twice a relapse was recorded one year after the operation. The complaints are substantially smaller than before operation. The authors emphasize the advantages of thoracoscopic thoracic sympathectomy which is associated with a minimal risk of complications.
作者介绍了他们于1997年11月至2000年3月期间为35例患者实施的48例胸腔镜胸交感神经切除术。所有接受手术的患者均取得了良好效果，缺损愈合或上肢血供得到改善。1例患者在经典的上胸交感神经切除术[2]（经锁骨上间隙）15年后接受了两次胸腔镜再次交感神经切除术。术后一年有两次复发记录。但患者的不适症状比手术前明显减轻。作者强调了胸腔镜胸交感神经切除术的优势，即并发症风险极小。
