Wepf R
Engeriedspital Bern.
Helv Chir Acta. 1993 Jun;59(5-6):873-6.
The occurrence of complications in course of thoracoscopic vegetative denervation has been found low in the author's analysis of his 2679 cases. There arose several small lung lesions with consecutive pneumothorax or tension pneumothorax, furthermore some events of emphysema of the skin, one bleeding of an intercostal artery, which was stopped under thoracotomy, one division of the thoracic duct, one thrombosis of the anterior spinal artery, one cardiac failure. On the other hand there could be avoided air embolism, Horner's syndrome, lesions of recurrent and phrenic nerve, damage on trachea, bronchial tree, oesophagus and big vessels.
作者对其2679例病例的分析发现,胸腔镜下自主神经去神经术过程中并发症的发生率较低。出现了几例小的肺部病变并伴有连续性气胸或张力性气胸,此外还有一些皮肤气肿事件、一例肋间动脉出血(在开胸手术中止血)、一例胸导管破裂、一例脊髓前动脉血栓形成、一例心力衰竭。另一方面,可以避免空气栓塞、霍纳综合征、喉返神经和膈神经损伤、气管、支气管树、食管和大血管损伤。