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Thoracoscopic sympathectomy for vasospastic diseases

N Di Lorenzo1, G S Sica, P Sileri

  • 1Cattedra di Chirurgia Generale, Università di Roma, Tor Vergata, Italy. n.dilorenzo@wxt.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 7, 1999
PubMed
Summary

Thoracoscopic sympathectomy effectively treats vasospastic disorders like Raynaud's syndrome by altering vasal motility. This minimally invasive procedure offers long-lasting symptom relief with minimal discomfort.

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Area of Science:

  • Vascular Surgery
  • Thoracic Surgery
  • Neurology

Background:

  • Vasospastic disorders involve altered vasal motility, affecting conditions like Raynaud's syndrome.
  • Upper dorsal sympathectomy reduces peripheral resistance, proving effective for these conditions.
  • Endoscopic surgical techniques now offer minimally invasive options for sympathectomy.

Purpose of the Study:

  • To evaluate the efficacy and safety of thoracoscopic sympathectomy for vasospastic disorders.
  • To assess long-term outcomes and complications of the endoscopic surgical approach.

Main Methods:

  • Six patients with vasospastic disorders (4 Raynaud's, 2 causalgia) underwent thoracoscopic sympathectomy.
  • The procedure involved excision of the second, third, fourth, and fifth thoracic sympathetic ganglia.

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  • Preoperative evaluation and assessment of long-term results were conducted.

    • Main Results:

    • All patients achieved significant symptom relief with minimal pain and discomfort.
    • No patients required further medical therapy post-surgery.
    • Patients remained relapse-free during the follow-up period.

    Conclusions:

    • Thoracoscopic sympathectomy is an effective and safe treatment for select vasospastic phenomena.
    • The procedure is simple to perform and yields lasting positive outcomes.
    • This minimally invasive approach provides a valuable therapeutic option for patients with these conditions.