[Thoracoscopic sympathectomy for vascular disorders of the upper limbs: preliminary results]

Between January 2005-December 2006 we have performed 12 sympathectomies in 10 patients with ischemic hand disease Indication, surgical techniques, and early results were discussed. Thoracoscopic sympathectomy in patients with severe ischemia of upper limb extremities and unsuccessful medical therapy and local care permits optimal symptomatic control and maximum tissue salvage. Because the procedure is minimally invasive, safe, and associated with a low rate of complications, it should be considered earlier in the natural course of this disease as the best therapeutic option.