International Scientific Surgical Association

The First International Scientific Teleconference

"new technologies in medicine - 2004"

G.A.Sharandak, E.I.Kropachyova, S.N.Kachalov, V.A.Konovalov, S.I.Chichkan

THORACOSCOPIC SYMPATHECTOMY IN TREATMENT OF THE OBLITERATING ATHEROSCLEROSIS OF ARTERIES OF THE LOWER LIMBS

Hospital surgery clinic of medical faculty Far Eastern State Medical University

Road clinical hospital of the Far Eastern Railroad

Khabarovsk, Russia

Thoracic sympathectomy more than 50 years are used in treatment of an ischemia of the upper and lower extremities. However influence of this operation, in particular use thoracic sympathectomy at an ischemia of the lower extremities depending on a stage of disease, remains disputable. In work features preoperative and intraoperative inspections, a technique of operation and results thoracic  sympathectomy at 40 patients with an intermittent claudication and a critical ischemia are considered. Good results of treatment are received from 18 patients from 24 with IIБ a degree of an ischemia and at 8 patients from 16 at III � IV degrees of an ischemia.

Key words: obliterating atherosclerosis, ischemia of the lower extremities, thoracic  sympathectomy

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E-mail: sharandak@fromru.com

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