Laparoscopic lumbar sympathectomy for Buerger's disease / 重庆医科大学学报

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.