Bardaxoglou E, Reigner B, Enon B, Tolstuchow N, Lescalié F, Peret M, Chevalier J M
Service de Chirurgie Vasculaire et Thoracique, Centre Hospitalier et Universitaire, Angers, France.
Ann Vasc Surg. 1992 Jul;6(4):390-2. doi: 10.1007/BF02008799.
Beginning in April 1989, we have performed eight upper thoracic chemical sympathectomies by transthoracic endoscopy. The indications were occlusive arterial disease in four patients and Raynaud's syndrome and palmar hyperhidrosis in two patients each. Transthoracic endoscopy was performed under general anesthesia, through the third costal interspace on the anterior mid-clavicular line. Five ml of phenol were injected into the parietal pleura covering the three proximal thoracic ganglia. The duration of thoracic drainage was 24 hours. The postoperative course was uneventful except for one case of subcutaneous emphysema and transient Horner's syndrome in three instances. There were no initial failures. Because of its simplicity and the short hospitalization period, chemical sympathectomy by transthoracic endoscopy constitutes a valuable alternative to conventional surgery. This technique is, however, limited in the case of antecedent pleuropulmonary disorders.
从1989年4月开始，我们通过经胸内镜进行了8例上胸段化学性交感神经切除术。适应证为4例闭塞性动脉疾病，2例雷诺综合征和2例掌部多汗症。经胸内镜在全身麻醉下，通过锁骨中线前第三肋间隙进行。将5毫升苯酚注入覆盖三个近端胸神经节的壁层胸膜。胸腔引流时间为24小时。除1例皮下气肿和3例出现短暂性霍纳综合征外，术后过程顺利。无一例初次手术失败。经胸内镜化学性交感神经切除术因其操作简单和住院时间短，是传统手术的一种有价值的替代方法。然而，在既往有胸膜肺部疾病的情况下，该技术有局限性。
