Biedermann H, Janetschek G, Flora G
Abteilung für Gefässchirurgie, I. Universitätsklinik für Chirurgie, Innsbruck.
Chirurg. 1994 Aug;65(8):717-20; discussion 721.
Six patients with arterial occlusions of the legs underwent VRLS: a small incision is made in the flank, the retroperitoneum pushed aside with a 1.5-1-balloon catheter, the lumbar sympathicus endoscopically severed and/or partially excised with video assistance. The intervention was successful in all cases. Excised parts of the sympathetic trunk were demonstrated histologically in four cases. One case of severe bleeding from a lumbar artery was stopped endoscopically, and one patient underwent additional open resection of 2 cm of the sympathetic trunk. Postoperative intestinal paralysis lasted a mean of two days, and hospitalization five days. VRLS has several disadvantages for the surgeon, while its lesser strain and earlier rehabilitation are a definite advantage for the patient.
6例下肢动脉闭塞患者接受了视频辅助逆行腰交感神经切除术（VRLS）：在侧腹做一个小切口，用1.5-1球囊导管推开腹膜后腔，在内镜下切断和/或部分切除腰交感神经，并借助视频辅助。所有病例的干预均获成功。4例在组织学上证实切除了交感干的部分。1例腰动脉严重出血通过内镜止血，1例患者额外进行了2厘米交感干的开放切除术。术后肠麻痹平均持续2天，住院5天。VRLS对外科医生来说有几个缺点，而对患者来说其应激较小和康复较早是明显的优点。
