Endoscopic thoracic sympathectomy for Raynaud Syndrome / 中华胸心血管外科杂志

ABSTRACT

Raynaud Syndrome(RS) is a kind of paroxysmal digital ischemic disease whose typical symptom is characteristic tricolor change featuring pallor,cyanosis,and erythema induced by cold or emotion changing.The pathogenesis of RS is still not entirely clear,and there is no radical treatment.In recent years,endoscopic thoracic sympathectomy (ETS) for Raynaud Syndrome is gradually applied.ETS produces a high rate of initial relief,and has lower risk and technical difficulty compared with other surgical options,while its poor long-term outcome can't be ignored.There is currently a lack of a large number of clinical controlled trials between different operations,and there is still a need for further improved surgical procedures and accurate postoperative evaluation criteria.In this review,the recent advances of ETS is summarized.