Laparoscopic lumbar sympathectomy for Buerger’s disease

DAI Yuanbin; et al

doi:10.13406/j.cnki.cyxb.2004.06.040

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Laparoscopic lumbar sympathectomy for Buerger’s disease

更新时间：2024-01-17

- Laparoscopic lumbar sympathectomy for Buerger’s disease
- Journal of Chongqing Medical University Issue 6, Pages: 829-831(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院普外科
  2. 重庆市璧山人民医院普外科
  3. 重庆医科大学临床学院普外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.06.040
  CLC： R656
- Published：2004，
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[1]代远斌,张宏,向志,卢小刚,王济明.经电视腹腔镜腰交感神经节切除术治疗Buerger病——附7例临床报告[J].重庆医科大学学报,2004(06):829-831.

DAI Yuanbin, et al. Laparoscopic lumbar sympathectomy for Buerger’s disease. [J]. Journal of Chongqing Medical University (6):829-831(2004)
[1]代远斌,张宏,向志,卢小刚,王济明.经电视腹腔镜腰交感神经节切除术治疗Buerger病——附7例临床报告[J].重庆医科大学学报,2004(06):829-831. DOI： 10.13406/j.cnki.cyxb.2004.06.040.

DAI Yuanbin, et al. Laparoscopic lumbar sympathectomy for Buerger’s disease. [J]. Journal of Chongqing Medical University (6):829-831(2004) DOI： 10.13406/j.cnki.cyxb.2004.06.040.

摘要

目的 :探讨经电视腹腔镜行腰交感神经节切除术治疗Buerger病的可行性。方法 :选择本院普外科 2 0 0 2年 6月至2 0 0 3年 10月采用电视腹腔镜行腰交感神经节切除（VALLS）治疗Buerger病 7例。双侧腰交感神经节切除 3例

左侧 3例

右侧 1例 ;行右股总动脉 -股浅动脉搭桥 1例 ;右大隐静脉原位动脉化 1例 ;足趾坏死行截趾或小腿截肢 2例。结果 :7例患者经腹腔镜腰交感神经节切除均为病理证实（只有 1例病理报告为 1枚淋巴结）。手术后即刻下肢皮温明显升高。本组病例未发生严重并发症

仅 1例术中出现皮下气肿

经对症处理 3天后完全恢复正常。随访 2～ 18月

平均 8.7月

效果良好

表现为皮温正常

肢体血供改善

疼痛显著缓解或消失。结论 :VALLS具有切口小

创伤小

手术视野清晰

解剖定位准确等优越性

疗效满意

具有临床推广价值。

Abstract

Objective:To review the feasibility and efficacy of partial lumbar sympathectomy for Buerger’s disease with video-assisted laparoscopic lumbar sympathectomy (VALLS).Methods:From July 2002 to Octomber 2003

7 patients with Buerger’s disease were treated in our hospita1 with VALLS.3 cases underwent bilateral resection

3 cases left side resection

1 case right side resection

1 case common femoral-superficial femora1 artery bypass

1 case right greater saphenous vein arterialization

and 2 cases toes amputation.Results:All the 7 cases were confirmed by pathological examination(one was reported as one lymph node).The skin temperature of lower limb immediately rose significantly after operation.Serious complications were not found in all the patients.Only one case developed aerodermectasia

but recovered completely after three days of symptomatic therapy.Follow-up survey of 2-18 months(with mean of 8.7 months)showed the effect was satisfactory with the manifestations of normal limb temperature

improved blood supply

remission and resolution of the pain.Conclusion:Because of its small incision

little wound

excellent view of the retroperitoneal space and accurate anatomical location

VALLS is relatively simpler than classical operation and its effect is satisfactory.

关键词

腹腔镜腰交感神经节切除术Buerger病

Keywords

laparoscopeLumbar sympathectomyBuerger’s disease

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