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

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, 陈勇兵. 胸腔镜交感神经链切断术治疗手汗症的临床效果. 江苏医药, 2009, 35(3):344-345.
5.	李旭, 涂远荣, 林敏. T3 水平交感神经干并旁路纤维切断术治疗手汗症的疗效观察. 中国现代医生, 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, 马冬春, 魏大中, 等. 不同节段胸交感神经链切断术中掌温检测的临床意义. 安徽医科大学学报, 2010, 45(3):409-411.
11.	张雪峰, 沈亦珏. 胸腔镜下胸交感神经链切断术治疗手汗症50 例报告. 中国内镜杂志, 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, 张迎春, 陈勇兵, 等. 胸交感神经链切断术对尺、桡动脉血流动力学的影响. 江苏医药, 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, 陈勇兵. 胸腔镜交感神经链切断术治疗手汗症的临床效果. 江苏医药, 2009, 35(3):344-345.
5. 李旭, 涂远荣, 林敏. T3 水平交感神经干并旁路纤维切断术治疗手汗症的疗效观察. 中国现代医生, 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, 马冬春, 魏大中, 等. 不同节段胸交感神经链切断术中掌温检测的临床意义. 安徽医科大学学报, 2010, 45(3):409-411.
11. 张雪峰, 沈亦珏. 胸腔镜下胸交感神经链切断术治疗手汗症50 例报告. 中国内镜杂志, 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, 张迎春, 陈勇兵, 等. 胸交感神经链切断术对尺、桡动脉血流动力学的影响. 江苏医药, 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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