EXPERIENCE WITH THORACOSCOPIC SYMPATHECTOMY IN DISTAL LESIONS OF LOWER-LIMB ARTERIES

Karimov Sh.I., Berkinov U.В., Krotov N.F., Ganiev D.A.
Chair of Faculty and Hospital Surgery Tashkent Medical Academy,
Tashkent, Republic of Uzbekistan

We studied the results outcomes of thoracoscopic sympathectomy in 107 patients with distal lesions of lower-limb arteries. The best results in the early postoperative period were observed in patients with Raynaud’s disease and syndrome, reaching 100% efficacy. Due to implementation of novelties, we managed to preserve the efficiency of sympathectomy in 90% of patients with this pathology in the remote period. In patients with obliterating endarteritis and atherosclerosis, the efficacy of the operation was regarded as a possibility to preserve the supporting function of the extremity. In the postoperative period this goal was achieved in 73.2% and 62.5% of patients, respectively, while in the remote period in 62% and 25%, respectively.

KEY WORDS: thoracosopic sympathectomy, Raynaud’s disease, Raynaud’s syndrome, endarteritis obliterans, atherosclerosis.

P. 135

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