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Current Results

LOUIS T. PALUMBO, MD; DONALD J. LULU, MD

AMA Arch Surg. 1966;92(2):247-257.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 . . . [Full Text PDF of this Article]

Author Affiliations
DES MOINES, IA

From the Department of Surgery, Veterans Administration Hospital, Des Moines.

Footnotes
Submitted for publication Oct 30, 1965.

Reprint requests to Veterans Administration Center, Des Moines, Ia 50308 (Dr. Palumbo).

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