Schreiner W, Mykoliuk I, Dudek W, Sirbu H (2018)
Publication Type: Journal article
Publication year: 2018
Book Volume: 143
Pages Range: 235-237
Journal Issue: 3
INTRODUCTION: Sympathetic clipping in the presence of an azygos lobe is a rare combination. Anatomical relations between the sympathetic trunk and the mesoazygos impede surgical handling and can be associated with potential complications. INDICATION: We report the case of a 25-year old woman with grade III palmoplantar and axillary hyperhidrosis with azygos lobe incidentally found on preoperative chest X-ray. METHOD: Our intraoperative video shows a step-by-step approach to the sympathetic trunk in the presence of the azygos lobe, involving thoracoscopic looping and precise clip application onto the sympathetic trunk. Video-assisted reposition and expansion of the accessory lobe to avoid potential complications have been demonstrated. CONCLUSION: Videothoracoscopic sympathetic clipping in patients with lobus azygos is technically challenging. Potential complications can be avoided by coordinated surgical management.
APA:
Schreiner, W., Mykoliuk, I., Dudek, W., & Sirbu, H. (2018). Videothoracoscopic Sympathetic Clipping in a Patient With Azygos Lobe. Intraoperative Management to Avoid Potential Complications. Zentralblatt für Chirurgie, 143(3), 235-237. https://doi.org/10.1055/s-0044-102259
MLA:
Schreiner, Waldemar, et al. "Videothoracoscopic Sympathetic Clipping in a Patient With Azygos Lobe. Intraoperative Management to Avoid Potential Complications." Zentralblatt für Chirurgie 143.3 (2018): 235-237.
BibTeX: Download