Rösner K, Goldberg S
Z Gesamte Inn Med. 1979 May 15;34(10):127-8.
On the basis of a follow-up period lasting at least 6 years concerning 23 patients, in whom on account of a Raynaud-syndrome a thoracoscopic sympathicotomy in the region Th 2-5 was carried out in most cases bilaterally in two sessions, in comparison with the sympathicectomy performed in major surgery can be established:no mortality, no serious complications, duration of stay in hospital 5-7 days, no absolute healing. In a follow-up period of the same length in an approach of major surgery absolute healings are possible, but only in 35%. This gain is loaded by a longer stay in hospital of at least 10 days and a mortality of 4.3% as well as by a complication rate of 6-41%, to which in 8-13% of the cases a Horner-syndrome comes. Therefore, before an approach in major surgery a thoracoscopic intervention is to be tried. The thoracoscopic operators should strive for a sympathectomy with destroy of the ganglia Th 2 and 3 instead for a sympathicotomy.
在对23例患者进行至少6年随访的基础上，这些患者大多因雷诺综合征在两个阶段双侧进行了T2 - 5区域的胸腔镜交感神经切断术，与大手术中进行的交感神经切除术相比，可以确定：无死亡病例，无严重并发症，住院时间5 - 7天，无完全治愈。在相同长度的随访期内，大手术方法有可能实现完全治愈，但仅为35%。这种获益伴随着至少10天的更长住院时间、4.3%的死亡率以及6% - 41%的并发症发生率，其中8% - 13%的病例出现霍纳综合征。因此，在进行大手术之前应尝试胸腔镜干预。胸腔镜手术者应争取破坏T2和T3神经节进行交感神经切除术，而不是交感神经切断术。
