- 作者：Hans Coveliers ; h.coveliers@vumc.nl" class="auth_mail" title="E-mail the corresponding author ; Frank Hoexum ; Jan A. Rauwerda ; Willem Wisselink
- 关键词：Endoscopic ; Thoracic ; Sympathectomy ; Upper limb ; Ischemia
- 刊名：The Surgeon
- 出版年：2016
- 出版时间：October 2016
- 年：2016
- 卷：14
- 期：5
- 页码：265-269
- 全文大小：248 K
bsSec_2">Methods
bspara0015">We retrospectively reviewed the records of all consecutive patients who underwent ETS for ULI between January 1994 and May 2009. A standardized questionnaire was used to evaluate the long term success, morbidity and overall patient satisfaction.
bsSec_3">Results
bspara0020">Thirty-five patients (20 female, mean age 49 years (range 23–79)) underwent bilateral (n = 9) and unilateral (n = 27) ETS procedures, respectively. Six patients had Primary (idiopathic) Raynaud Disease. Twenty-nine patients had upper limb ischemia secondary to systemic disorders (n = 12), embolic disease (n = 10), occlusion of the arteries of the arm (n = 5) or hypothenar hammer syndrome (n = 2). Tissue loss at time of surgery was present in nineteen patients. Short term beneficial effects were reported by 12 patients (63%). Eleven of the 35 patients experienced a total of 13 complications or adverse events, whereof 11 were minor or transient. Limb salvage was unsuccessful in three patients because of major amputations (n = 2) or severe functional impairment (n = 1). Necrotectomies or minor amputations without functional impairment were performed in 9 patients. Medium or long term follow up (mean 98 months (range 18–198) was available in 19 out of 22 living patients(86%). Long term beneficial effects were reported by 10 (53%). Overall patient satisfaction was 56%. Compensatory sweating was experienced by 11 patients (58%).
bsSec_4">Conclusion
bspara0025">Although the long term efficacy of ETS in our study was moderate (53%), due to its low invasiveness ETS is a valuable option in the management of ULI.