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Anterior Transthoracic Upper Dorsal Sympathectomy: Current Results

Anterior Transthoracic Upper Dorsal Sympathectomy: Current Results Abstract IN APRIL 1953, we developed and began to use an anterior transthoracic transpleural approach through the third intercostal space for an upper thoracic (dorsal) sympathectomy. This provided, for the first time, a direct and easy approach to this segment of the sympathetic chain and associated ganglia. With the excision of the sympathetic chain and ganglia from the first through the fifth thoracic ganglia, a complete and permanent sympathetic denervation of the structures of the head, neck, shoulder, and anterior and posterior aspects of the chest to the fifth thoracic somatic intercostal levels, upper extremity, mediastinal, and thoracic contents (including the esophagus, heart, coronary vessels, bronchi, lungs, and great vessels) can be accomplished. The extent of this resection is considered essential to ablate all of the visceral afferent and efferent pathways to the areas and structures listed above. This exposure makes it possible for the surgeon to readily visualize the thoracic References 1. Ages at time of death 2. Palumbo, L.T.: A New Concept of the Sympathetic Pathways to the Eye , Surgery 42:740, 1957. 3. Palumbo, L.T.: Surgical Treatment of Angina Pectoris Using the Anterior Transthoracic Transpleural Approach , Mod Med 26:100 ( (Nov 15) ) 1958. 4. Palumbo, L.T., and Shapiro, S.W.: Physiologic Studies Before and After Upper Dorsal Sympathectomy , Ann Surg 147:261, 1958.Crossref 5. Palumbo, L.T.: Anterior Transthoracic Approach for Upper Thoracic Sympathectomy , Arch Surg 72:659, 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Anterior Transthoracic Upper Dorsal Sympathectomy: Current Results

Archives of Surgery , Volume 92 (2) – Feb 1, 1966

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320200087014
Publisher site
See Article on Publisher Site

Abstract

Abstract IN APRIL 1953, we developed and began to use an anterior transthoracic transpleural approach through the third intercostal space for an upper thoracic (dorsal) sympathectomy. This provided, for the first time, a direct and easy approach to this segment of the sympathetic chain and associated ganglia. With the excision of the sympathetic chain and ganglia from the first through the fifth thoracic ganglia, a complete and permanent sympathetic denervation of the structures of the head, neck, shoulder, and anterior and posterior aspects of the chest to the fifth thoracic somatic intercostal levels, upper extremity, mediastinal, and thoracic contents (including the esophagus, heart, coronary vessels, bronchi, lungs, and great vessels) can be accomplished. The extent of this resection is considered essential to ablate all of the visceral afferent and efferent pathways to the areas and structures listed above. This exposure makes it possible for the surgeon to readily visualize the thoracic References 1. Ages at time of death 2. Palumbo, L.T.: A New Concept of the Sympathetic Pathways to the Eye , Surgery 42:740, 1957. 3. Palumbo, L.T.: Surgical Treatment of Angina Pectoris Using the Anterior Transthoracic Transpleural Approach , Mod Med 26:100 ( (Nov 15) ) 1958. 4. Palumbo, L.T., and Shapiro, S.W.: Physiologic Studies Before and After Upper Dorsal Sympathectomy , Ann Surg 147:261, 1958.Crossref 5. Palumbo, L.T.: Anterior Transthoracic Approach for Upper Thoracic Sympathectomy , Arch Surg 72:659, 1956.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1966

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