No partial pleurectomy needed to expose the sympathetic nerve (less pain, scar tissue, bleeding).

Kuntz nerves are present in 85 to 90% of patients (some are the caliber of a hair), they travel parallel or at diverging angles to the main sympathetic nerve trunk anywhere from a few millimeters to several centimeters away from the main nerve trunk. They arise from the T2,T3, T4 and/or T5 ganglia (several levels below the level of clamping, ganglion excision, or cutting).

Only one micro (1/12th inch) entry site (less pain, scar tissue, bleeding, numbness), rather than a larger incision or several incisions per side.

Angle of approach is from a more superior and anterior angle - not from the back/side (posterior/lateral). More precise assessment of tiny Kuntz nerve branches present in the T2 region with precise division of Kuntz nerves. Excess surrounding tissue is sometimes caught when clamping causing chronic pain. Cutting or clamping from a back/side angle or an apporach from below the T2 level may make precise identification of the sympathetic nerve and all of it branches less accurate. Sometimes the T3 level is mistaken for the T2 level with other angles of approach.