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Retroperitoneoscopic lumbar sympathectomy with balloon dissection: clinical experience
E Debing1, C Simoens, P Van den Brande
1Department of Vascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Brussels, Belgium. cvatdge@az.vub.ac.be
Purpose:
To describe our technique and clinical experience of retroperitoneoscopic lumbar sympathectomy with balloon dissection.
Patients And Methods:
From 1995 to 1999, 23 procedures were performed.
Results:
No complications were noted. The median hospital stay was 4 days. Of the 23 attempts, 2 had to be converted to open technique. Histologic examination demonstrated interruption of the sympathetic chain in 22 of the 23 cases and absence of nervous tissue in 1.
Conclusions:
Once the technique is mastered, it can be performed fast, and it offers patients the benefits of a minimally invasive approach without the inconsistent therapeutic results of chemical sympathectomy.