Thoracoscopic Sympathectomy for Vasospastic Diseases
Identifieur interne : 004154 ( Pmc/Checkpoint ); précédent : 004153; suivant : 004155Thoracoscopic Sympathectomy for Vasospastic Diseases
Auteurs : Nicola Di Lorenzo ; Giuseppe S. Sica ; Pierpaolo Sileri ; Achille L. GaspariSource :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons [ 1086-8089 ] ; 1998.
Abstract
Vasospastic disorders (acrocyanosis, Raynaud's syndrome, causalgia) can arise from different etiologic factors, but the pathogenesis is always represented by an altered mechanism of vasal motility. Upper dorsal sympathectomy has been demonstrated to be an effective treatment for these disorders by decreasing peripheral resistances. Surgical technique has shown long-lasting results, and it can now be performed by endoscopic approach.
Our experience with six cases of sympathectomy is illustrated. The indications, thoracoscopic technique, complications and longterm results are evaluated. Four women with Raynaud's syndrome and two men with causalgia were treated in this series. After an accurate preoperative evaluation, the second, third, fourth and fifth thoracic ganglia of the sympathetic chain were identified and excised.
All patients experienced relief of symptoms with very limited pain and discomfort. They did not require further medical therapy and are relapse-free at follow-up.
We conclude that thoracoscopic sympathectomy can be considered an effective, safe and simple treatment for selected cases of vasospastic phenomenon.
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PubMed: 9876748
PubMed Central: 3015307
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Thoracoscopic Sympathectomy for Vasospastic Diseases</title><author><name sortKey="Di Lorenzo, Nicola" sort="Di Lorenzo, Nicola" uniqKey="Di Lorenzo N" first="Nicola" last="Di Lorenzo">Nicola Di Lorenzo</name></author><author><name sortKey="Sica, Giuseppe S" sort="Sica, Giuseppe S" uniqKey="Sica G" first="Giuseppe S." last="Sica">Giuseppe S. Sica</name></author><author><name sortKey="Sileri, Pierpaolo" sort="Sileri, Pierpaolo" uniqKey="Sileri P" first="Pierpaolo" last="Sileri">Pierpaolo Sileri</name></author><author><name sortKey="Gaspari, Achille L" sort="Gaspari, Achille L" uniqKey="Gaspari A" first="Achille L." last="Gaspari">Achille L. Gaspari</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">9876748</idno><idno type="pmc">3015307</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015307</idno><idno type="RBID">PMC:3015307</idno><date when="1998">1998</date><idno type="wicri:Area/Pmc/Corpus">004168</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004168</idno><idno type="wicri:Area/Pmc/Curation">004167</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004167</idno><idno type="wicri:Area/Pmc/Checkpoint">004154</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">004154</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Thoracoscopic Sympathectomy for Vasospastic Diseases</title><author><name sortKey="Di Lorenzo, Nicola" sort="Di Lorenzo, Nicola" uniqKey="Di Lorenzo N" first="Nicola" last="Di Lorenzo">Nicola Di Lorenzo</name></author><author><name sortKey="Sica, Giuseppe S" sort="Sica, Giuseppe S" uniqKey="Sica G" first="Giuseppe S." last="Sica">Giuseppe S. Sica</name></author><author><name sortKey="Sileri, Pierpaolo" sort="Sileri, Pierpaolo" uniqKey="Sileri P" first="Pierpaolo" last="Sileri">Pierpaolo Sileri</name></author><author><name sortKey="Gaspari, Achille L" sort="Gaspari, Achille L" uniqKey="Gaspari A" first="Achille L." last="Gaspari">Achille L. Gaspari</name></author></analytic><series><title level="j">JSLS : Journal of the Society of Laparoendoscopic Surgeons</title><idno type="ISSN">1086-8089</idno><idno type="eISSN">1938-3797</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Vasospastic disorders (acrocyanosis, Raynaud's syndrome, causalgia) can arise from different etiologic factors, but the pathogenesis is always represented by an altered mechanism of vasal motility. Upper dorsal sympathectomy has been demonstrated to be an effective treatment for these disorders by decreasing peripheral resistances. Surgical technique has shown long-lasting results, and it can now be performed by endoscopic approach.</p></sec><sec><title>Methods:</title><p>Our experience with six cases of sympathectomy is illustrated. The indications, thoracoscopic technique, complications and longterm results are evaluated. Four women with Raynaud's syndrome and two men with causalgia were treated in this series. After an accurate preoperative evaluation, the second, third, fourth and fifth thoracic ganglia of the sympathetic chain were identified and excised.</p></sec><sec><title>Results:</title><p>All patients experienced relief of symptoms with very limited pain and discomfort. They did not require further medical therapy and are relapse-free at follow-up.</p></sec><sec><title>Conclusions:</title><p>We conclude that thoracoscopic sympathectomy can be considered an effective, safe and simple treatment for selected cases of vasospastic phenomenon.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Linder, F" uniqKey="Linder F">F Linder</name></author><author><name sortKey="Jenal, G" uniqKey="Jenal G">G Jenal</name></author><author><name sortKey="Assmus, H" uniqKey="Assmus H">H Assmus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Byrne, J" uniqKey="Byrne J">J Byrne</name></author><author><name sortKey="Walsh, Tn" uniqKey="Walsh T">TN Walsh</name></author><author><name sortKey="Hederman, Wd" uniqKey="Hederman W">WD Hederman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adson, Aw" uniqKey="Adson A">Aw Adson</name></author><author><name sortKey="Brown, Ge" uniqKey="Brown G">GE Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gask, Ge" uniqKey="Gask G">GE Gask</name></author><author><name sortKey="Ross, Jp" uniqKey="Ross J">JP Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palumbo, Lt" uniqKey="Palumbo L">LT Palumbo</name></author><author><name sortKey="Lulu, Dj" uniqKey="Lulu D">DJ Lulu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Atkins, Hjb" uniqKey="Atkins H">HJB Atkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chandler, Ke" uniqKey="Chandler K">KE Chandler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kux, E" uniqKey="Kux E">E Kux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kux, M" uniqKey="Kux M">M Kux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wittmoser, R" uniqKey="Wittmoser R">R Wittmoser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wittmoser, R" uniqKey="Wittmoser R">R Wittmoser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Cc" uniqKey="Lin C">CC Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Cc" uniqKey="Lin C">CC Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mills, A" uniqKey="Mills A">A Mills</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mockus, Mb" uniqKey="Mockus M">MB Mockus</name></author><author><name sortKey="Rutheford, Rb" uniqKey="Rutheford R">RB Rutheford</name></author><author><name sortKey="Rosales, C" uniqKey="Rosales C">C Rosales</name></author><author><name sortKey="Pearce, Wh" uniqKey="Pearce W">WH Pearce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Porter, C" uniqKey="Porter C">C Porter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roos, Db" uniqKey="Roos D">DB Roos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adson, Aw" uniqKey="Adson A">Aw Adson</name></author><author><name sortKey="Brown, Ge" uniqKey="Brown G">GE Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conlon, Kc" uniqKey="Conlon K">KC Conlon</name></author><author><name sortKey="Keaveny, Tv" uniqKey="Keaveny T">TV Keaveny</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuntz, A" uniqKey="Kuntz A">A Kuntz</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">JSLS</journal-id><journal-id journal-id-type="iso-abbrev">JSLS</journal-id><journal-id journal-id-type="hwp">jsls</journal-id><journal-id journal-id-type="pmc">jsls</journal-id><journal-id journal-id-type="publisher-id">JSLS</journal-id><journal-title-group><journal-title>JSLS : Journal of the Society of Laparoendoscopic Surgeons</journal-title></journal-title-group><issn pub-type="ppub">1086-8089</issn><issn pub-type="epub">1938-3797</issn><publisher><publisher-name>Society of Laparoendoscopic Surgeons</publisher-name><publisher-loc>Miami, FL</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">9876748</article-id><article-id pub-id-type="pmc">3015307</article-id><article-categories><subj-group subj-group-type="heading"><subject>Scientific Papers</subject></subj-group></article-categories><title-group><article-title>Thoracoscopic Sympathectomy for Vasospastic Diseases</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Di Lorenzo</surname><given-names>Nicola</given-names></name><degrees>MD, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Sica</surname><given-names>Giuseppe S.</given-names></name><degrees>MD, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Sileri</surname><given-names>Pierpaolo</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Gaspari</surname><given-names>Achille L.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff>Cattedra di Chirurgia Generale, Università di Roma - Tor Vergata - Italy</aff><aff id="aff1"><label>1</label>FACS. Cattedra di Chirurgia Generale, Università di Roma - Tor Vergata - Italy</aff></contrib-group><author-notes><corresp>Address reprint request to: Dr. Nicola Di Lorenzo, <addr-line>Via Salsomaggiore 32 - 00135 ROMA - ITALY</addr-line>. Telephone: <phone>39-6-3011660</phone>, Fax: <fax>39-863-412446</fax>, E-mail: <email>n.dilorenzo@wxt.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Sep</season><year>1998</year></pub-date><volume>2</volume><issue>3</issue><fpage>249</fpage><lpage>253</lpage><permissions><copyright-statement>© 1998 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.</copyright-statement><copyright-year>1998</copyright-year><copyright-holder>Society of Laparoendoscopic Surgeons, Inc.</copyright-holder><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link>), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.</license-p></license></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="jsls-2-3-249.pdf"></self-uri><abstract><sec><title>Background:</title><p>Vasospastic disorders (acrocyanosis, Raynaud's syndrome, causalgia) can arise from different etiologic factors, but the pathogenesis is always represented by an altered mechanism of vasal motility. Upper dorsal sympathectomy has been demonstrated to be an effective treatment for these disorders by decreasing peripheral resistances. Surgical technique has shown long-lasting results, and it can now be performed by endoscopic approach.</p></sec><sec><title>Methods:</title><p>Our experience with six cases of sympathectomy is illustrated. The indications, thoracoscopic technique, complications and longterm results are evaluated. Four women with Raynaud's syndrome and two men with causalgia were treated in this series. After an accurate preoperative evaluation, the second, third, fourth and fifth thoracic ganglia of the sympathetic chain were identified and excised.</p></sec><sec><title>Results:</title><p>All patients experienced relief of symptoms with very limited pain and discomfort. They did not require further medical therapy and are relapse-free at follow-up.</p></sec><sec><title>Conclusions:</title><p>We conclude that thoracoscopic sympathectomy can be considered an effective, safe and simple treatment for selected cases of vasospastic phenomenon.</p></sec></abstract><kwd-group><kwd>Vasospastic diseases</kwd><kwd>Sympathectomy</kwd><kwd>Thoracoscopy</kwd><kwd>Minimal invasive surgery</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Di Lorenzo, Nicola" sort="Di Lorenzo, Nicola" uniqKey="Di Lorenzo N" first="Nicola" last="Di Lorenzo">Nicola Di Lorenzo</name><name sortKey="Gaspari, Achille L" sort="Gaspari, Achille L" uniqKey="Gaspari A" first="Achille L." last="Gaspari">Achille L. Gaspari</name><name sortKey="Sica, Giuseppe S" sort="Sica, Giuseppe S" uniqKey="Sica G" first="Giuseppe S." last="Sica">Giuseppe S. Sica</name><name sortKey="Sileri, Pierpaolo" sort="Sileri, Pierpaolo" uniqKey="Sileri P" first="Pierpaolo" last="Sileri">Pierpaolo Sileri</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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