Laparoscopic versus open lumbar sympathectomy in critical limb threatening ischemia patients in Egypt.

ABSTRACT:

Purpose

The treatment of critical limb-threatening ischemia (CLTI) is revascularization. Lumbar sympathectomy (LS) could be attempted when this is not amenable. Using laparoscopic techniques to perform LS adds the advantages of minimally invasive surgery.

Methods

Twenty-four patients, presenting with non-reconstructable CLTI and rest pain, were randomly divided into group I (14 patients) who underwent retroperitoneoscopic lumbar sympathectomy (RPLS) and group II (10 patients) who had conventional open lumber sympathectomy (COLS).

Results

RPLS patients had shorter hospital stays, fewer intraoperative complications, and less postoperative pain. However, the mean operative time was significantly longer (86.4 ± 9.1 min, p-value: 0.02) in the RPLS group but decreased with

SUBMITTER: Shaalan WE 

PROVIDER: S-EPMC11542267 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature