Tedoriya T, Akemoto K, Ueyama T
Department of Cardiovascular Surgery, Kanazawa National Hospital, Japan.
Kyobu Geka. 1993 Sep;46(10):853-5.
The thoracic sympathectomy was performed with standard laparoscopic and urologic equipment. After intubation, the patient was placed in a half sitting position. A Surgineedle was introduced into the pleural cavity through a 1 cm incision at the intercostal space between the first and second rib. An apical pneumothorax was created by insufflation of two litres of CO2. A 24 ch. urological trocar was inserted through the same incision, then the electroresectoscope was introduced into the pleural cavity. The sympathetic chain could be observed through parietal pleura riding on the costovertebral junctions. These areas were electrocoagulated. The lung was expanded by limiting expiration and sucking CO2. A postoperative chest X-ray was done to check no pneumothorax. This method was a simple and safe surgery, which was available for bilateral sympathectomy.
胸交感神经切除术采用标准的腹腔镜和泌尿外科设备进行。插管后，患者置于半坐位。通过第一和第二肋间隙之间1厘米的切口将手术针引入胸腔。通过注入两升二氧化碳制造顶端气胸。将一根24号泌尿外科套管针通过同一切口插入，然后将电切镜引入胸腔。通过位于肋椎关节处的壁层胸膜可观察到交感神经链。对这些区域进行电凝。通过限制呼气和抽吸二氧化碳使肺复张。术后进行胸部X线检查以确认无气胸。该方法是一种简单安全的手术，可用于双侧交感神经切除术。
