Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis - The combined paediatric, adolescents and adult experience

被引:34
作者
Cohen, Z
Levi, I
Pinsk, I
Mares, AJ
机构
[1] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Med Ctr, Dept Paediat Surg, IL-84101 Beer Sheva, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Med Ctr, Dept Gen Surg C, IL-84101 Beer Sheva, Israel
关键词
palmar hyperhidrosis; sympathectomy; thoracoscopy;
D O I
10.1080/11024159850191049
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: To present our experience, over the past 4 years, of thoracoscopic upper thoracic sympathectomy in patients with primary palmar hyperhidrosis. Design: Retrospective study. Setting: University hospital, Israel. Subjects: 402 thoracoscopic upper thoracic sympathectomies in 223 patients over a period of 4 years. Interventions: Thoracoscopic ablation of ganglia and severing of the sympathetic chain at the level of T2 and T3. 142 patients underwent bilateral simultaneous sympathectomy, 37 had bilateral non-simultaneous sympathectomy and 44 had unilateral sympathectomy. Results: 220 patients (98.7%) had an uneventful postoperative course and were discharged the following day. Three patients with residual pneumothorax required intercostal drainage and were discharged on the third postoperative day. 219 patients (98.2%) were completely satisfied, having immediate and permanent relief of palmar sweating. Four patients were dissatisfied. Conclusion: The thoracoscopic approach to the upper thoracic sympathectomy is at present the procedure of choice. Early operation for severe palmar hyperhidrosis is indicated to save a child many years of frustration and discomfort.
引用
收藏
页码:5 / 8
页数:4
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