Govedarski V, Petrov I, Zahariev T, Nachev G
Khirurgiia (Sofiia). 2010(1):19-23.
The first lumbar sympathectomy for treatment of arterial occlusive disease of the lower extremity was performed in 1924 by Julio Diez of Buenos Aires. The standart anatomy textbooks indicate, as a rule that the lumbar sympathetic trunk contains four or five ganglia. The overall anatomic denervation is important for achievement of an adequate sympathectomy of a given segment of an extremity. Criteria and indications for complete sympathetic block are still not clear. Exceptionally important for the improvement of the reology of the lower limbs is the option for a direct increase of the collaterals' debit which could be achieved by extensive profundoplasty. As an addition to the arterial reconstructions, the sympathectomy increases the passability of small vessel anastomosis and the recovery of traumatized arteries. Unilateral or bilateral lumbar sympathectomy is performed by retroperitonal access. From 01.01.2008 till 01.11.2008 in our clinic were performed 117 isolated and after arterial reconstruction lumbar sympathectomies.
1924年，布宜诺斯艾利斯的胡利奥·迪埃兹首次进行了第一例腰交感神经切除术以治疗下肢动脉闭塞性疾病。标准解剖学教科书通常指出，腰交感干包含四或五个神经节。整体解剖去神经支配对于实现肢体特定节段的充分交感神经切除术很重要。完全交感神经阻滞的标准和适应症仍不明确。对于改善下肢血液流变学而言，特别重要的是通过广泛的深部血管成形术直接增加侧支血流量的选择。作为动脉重建的补充，交感神经切除术可增加小血管吻合的通畅性以及创伤动脉的恢复。单侧或双侧腰交感神经切除术通过腹膜后入路进行。2008年1月1日至2008年11月1日，我们诊所进行了117例单独的以及动脉重建后的腰交感神经切除术。
