经电视腹腔镜腰交感神经节切除术的并发症及防治

Prevention and Cure of Complication of video - assisted Laparoscopic Lumbar Sympathectomy for Buerger's disease

目的:探讨电视辅助腹腔镜行腰交感神经节切除术并发症及其预防处理措施。方法:回顾性分析13例经电视辅助腹腔镜行腰交感神经节切除术(VALLS);结果:13例手术均未出现严重并发症,只有2例术后出现阴囊及术侧胸腹壁皮下气肿;结论:VALLS是治疗Buerger's病的一种较理想的微创手术,但只有掌握良好的腹腔镜操作技巧,熟悉腹膜后腔的解剖及其变异,术中认真仔细的操作,辨认和保护邻近重要结构,才能将可能出现的并发症降至最低。

Objective ： To explore the Prevention and Cure of the Complications of video - assisted Laparoscopic Lumbar Sympathectomy （VALLS）. Methods： 13 cases of Buerger＇ s disease treated with VALLS were retrospectively reviewed. Results： Serious complications were not found in all the patients, Only two cases developed aerodermectasia, Conclusions ： VALLS is the ideal minimally invasive surgery for Buerger＇ s disease. Only then grasps the laparoscopic operation skill and anatomy of retroperitoneal space, protects the neighbor important structures, can the complication fall to the lowest.