LUMBAR SYMPATHECTOMY BY MEANS OF RETROPERITONEOSCOPY

被引:9
作者
JANETSCHEK, G
FLORA, G
BIEDERMANN, H
BARTSCH, G
机构
[1] Department of Urology, University of Innsbruck
[2] Department of Vascular Surgery, University of Innsbruck
关键词
LUMBAR SYMPATHECTOMY; ENDOSCOPY; RETROPERITONEOSCOPY;
D O I
10.3109/13645709309152968
中图分类号
R61 [外科手术学];
学科分类号
摘要
Initial attempts at endoscopic lumbar sympathectomy were made 20 years ago. Failure was guaranteed since the retroperitoneal approach did not provide sufficient space for orientation. Recently, a new method of retroperitoneoscopy has been described. Initially, the retroperitoneum is opened with the aid of a balloon which is inflated with about 1.5 l of saline, thereby creating a cavity which is then maintained by insufflation of CO2. Following this manoeuver, orientation proves easy and the approach to the sympathetic chain becomes a straightforward procedure. Both left and right-sided endoscopic lumbar sympathectomy has been successfully performed with this new technique in one patient each.
引用
收藏
页码:271 / 273
页数:3
相关论文
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