Bilateral Endoscopic Thoracic Sympathectomy through Single Hole for Palmar Hyperhidrosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

RENFu-qiang ,  QIUTao , RUIJun , ZHANGZhi-guo , YANGYi , MOUYun-fei , HUANGXin

Department of Thoracic Surgery, The Third People's Hospital of Chengdu, Second Affiliated Hospital of Chengdu Chongqing Medical University, Chengdu 610031, P. R. China;

Corresponding?author：

QIUTao, Email: caoguizhe@163.com

Keywords：

Palmar hyperhidrosis; Thoracic Sympathectomy; Thoracoscopy

DOI：

10.7507/1007-4848.20150016

Video：

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Objective To investigate the feasibility and clinical outcomes of bilateral endoscopic thoracic sympathectomy (ETS) through single hole for palmar hyperhidrosis (PHH). Methods From August 2012 to April 2013, 19 PHH patients were admitted in the Department of Thoracic Surgery, The Third People's Hospital of Chengdu. There were 7 male and 12 female patients with their age of 24.7(15-33) years. All the patients underwent bilateral ETS through single hole under general anesthesia. Results All the operations were successfully performed. Average operation time was 28.4 minutes, and postoperative hospital stay was 1.6 days. Seventeen patients were followed up for 2 to 10 months. PHH symptoms all disappeared without Horner's syndrome or hemopneumothorax. Conclusion Bilateral ETS through single hole is a minimally invasive, reliable and safe procedure for PHH with low morbidity.

Citation： RENFu-qiang, QIUTao, RUIJun, ZHANGZhi-guo, YANGYi, MOUYun-fei, HUANGXin. Bilateral Endoscopic Thoracic Sympathectomy through Single Hole for Palmar Hyperhidrosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(1): 54-56. doi: 10.7507/1007-4848.20150016 Copy

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2.	Hornberger J, Grimes K, Naumann M, et al. Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol, 2004, 51(2):274-286.
3.	Solish N, Bertucci V, Dansereau A, et al. A comprehensive approach to the recognition, diagnosis, and severity-based treatment of focal hyperhidrosis:recommendations of the Canadian Hyperhidrosis Advisory Committee. Dermatol Surg, 2007, 33(8):908-923.
4.	施力, 陳勇兵. 胸腔鏡交感神經鏈切斷術治療手汗癥的臨床效果. 江蘇醫藥, 2009, 35(3):344-345.
5.	李旭, 涂遠榮, 林敏. T3 水平交感神經干并旁路纖維切斷術治療手汗癥的療效觀察. 中國現代醫生, 2007, 45(9):26-27, 72.
6.	Tu YR, Li X, Lin M, et al. Epidemiological survey of primary palmar hyperhidrosis in adolescent in Fuzhou of People's Republic of China. Eur J Cardiothorac Surg, 2007, 31(4):737-739.
7.	Strutton DR, Kowalski JW, Glaser DA, et al. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis:results from a national survey. J Am Acad Dermatol, 2004, 51(2):241-248.
8.	Eisenach JH, Atkinson JL, Fealey RD. Hyperhidrosis:evolving therapies for a well-established phenomenon. Mayo Clin Proc, 2005, 80(5):657-666.
9.	Wang FG, Chen YB, Yang WT, et al. Comparison of compensatory sweating and quality of life following thoracic sympathetic block for palmar hyperhidrosis:electrocautery hook versus titanium clip. Chin Med J (Engl), 2011, 124(21):3495-3498.
10.	徐世斌, 馬冬春, 魏大中, 等. 不同節段胸交感神經鏈切斷術中掌溫檢測的臨床意義. 安徽醫科大學學報, 2010, 45(3):409-411.
11.	張雪峰, 沈亦玨. 胸腔鏡下胸交感神經鏈切斷術治療手汗癥50 例報告. 中國內鏡雜志, 2009, 15(5):490-491.
12.	Li X, Tu YR, Lin M, et al. Endoscopic thoracic sympathectomy for palmar hyperhidrosis:a randomized control trial comparing T3 and T2-4 ablation. Ann Thorac Surg, 2008, 85(5):1747-1751.
13.	Kao MC, Tsai JC, Lai DM, et al. Autonomic activities in hyperhidrosis patients before, during, and after endoscopic laser sympathectomy. Neurosurgery, 1994, 34(2):262-268.
14.	朱蓉英, 張迎春, 陳勇兵, 等. 胸交感神經鏈切斷術對尺、橈動脈血流動力學的影響. 江蘇醫藥, 2012, 38(14):1659-1661.
15.	Shachor D, Jedeikin R, Olsfanger D, et al. Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies. Arch Surg, 1994, 129(3):241-244.

1. ?Walling HW, Swick BL. Treatment options for hyperhidrosis. Am J Clin Dermatol, 2011, 12(5):285-295.
2. Hornberger J, Grimes K, Naumann M, et al. Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol, 2004, 51(2):274-286.
3. Solish N, Bertucci V, Dansereau A, et al. A comprehensive approach to the recognition, diagnosis, and severity-based treatment of focal hyperhidrosis:recommendations of the Canadian Hyperhidrosis Advisory Committee. Dermatol Surg, 2007, 33(8):908-923.
4. 施力, 陳勇兵. 胸腔鏡交感神經鏈切斷術治療手汗癥的臨床效果. 江蘇醫藥, 2009, 35(3):344-345.
5. 李旭, 涂遠榮, 林敏. T3 水平交感神經干并旁路纖維切斷術治療手汗癥的療效觀察. 中國現代醫生, 2007, 45(9):26-27, 72.
6. Tu YR, Li X, Lin M, et al. Epidemiological survey of primary palmar hyperhidrosis in adolescent in Fuzhou of People's Republic of China. Eur J Cardiothorac Surg, 2007, 31(4):737-739.
7. Strutton DR, Kowalski JW, Glaser DA, et al. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis:results from a national survey. J Am Acad Dermatol, 2004, 51(2):241-248.
8. Eisenach JH, Atkinson JL, Fealey RD. Hyperhidrosis:evolving therapies for a well-established phenomenon. Mayo Clin Proc, 2005, 80(5):657-666.
9. Wang FG, Chen YB, Yang WT, et al. Comparison of compensatory sweating and quality of life following thoracic sympathetic block for palmar hyperhidrosis:electrocautery hook versus titanium clip. Chin Med J (Engl), 2011, 124(21):3495-3498.
10. 徐世斌, 馬冬春, 魏大中, 等. 不同節段胸交感神經鏈切斷術中掌溫檢測的臨床意義. 安徽醫科大學學報, 2010, 45(3):409-411.
11. 張雪峰, 沈亦玨. 胸腔鏡下胸交感神經鏈切斷術治療手汗癥50 例報告. 中國內鏡雜志, 2009, 15(5):490-491.
12. Li X, Tu YR, Lin M, et al. Endoscopic thoracic sympathectomy for palmar hyperhidrosis:a randomized control trial comparing T3 and T2-4 ablation. Ann Thorac Surg, 2008, 85(5):1747-1751.
13. Kao MC, Tsai JC, Lai DM, et al. Autonomic activities in hyperhidrosis patients before, during, and after endoscopic laser sympathectomy. Neurosurgery, 1994, 34(2):262-268.
14. 朱蓉英, 張迎春, 陳勇兵, 等. 胸交感神經鏈切斷術對尺、橈動脈血流動力學的影響. 江蘇醫藥, 2012, 38(14):1659-1661.
15. Shachor D, Jedeikin R, Olsfanger D, et al. Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies. Arch Surg, 1994, 129(3):241-244.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Bilateral Endoscopic Thoracic Sympathectomy through Single Hole for Palmar Hyperhidrosis

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