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Figure 9. Schematic depicting port placement during robotic selective dorsal sympathectomy. Right chest. AP: accessory port
Figure 10. Schematic depicting port placement during robotic selective dorsal sympathectomy. Left chest. AP: accessory port
sympathetic chain is elevated and all posterior attachments to the ribs are severed using electrocautery. This
maneuver disconnects the RI which are communicating fibers between the ganglia. Following completion
of the highly selective sympathectomy, flexible drain is positioned posteriorly in the pleural space and
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brought out through the AP. On-Q subpleural catheters are placed traversing T2 to T8 . All patients are
extubated and are returned to the recovery room.
