Jantschulev M, Czarnetzki H D, Schwanitz P
Klinik für Chirurgie, Klinikum Südstadt Rostock.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:619-21.
Peripheral vascular obliteration of the leg provides an indication for a retroperitoneoscopic lumbal sympathectomy initially using a balloon dilator to create a transitional retroperitoneal cavity. After introducing carbon dioxide and two 5-mm instruments, we perform the resection and extirpation of the lumbal sympathetic nerve from L 2 to L 4. No complications occurred in 29 patients except conversion to open surgery in two cases because of gas loss into the peritoneum after causing peritoneal lesions.
腿部外周血管闭塞是逆行腹腔镜腰交感神经切除术的指征，最初使用球囊扩张器创建一个过渡性腹膜后腔。在注入二氧化碳并插入两根5毫米器械后，我们从L2至L4切除并摘除腰交感神经。29例患者中无并发症发生，仅有2例因造成腹膜损伤后气体漏入腹膜腔而转为开放手术。
