Chinese expert consensus on ETS optimization and surgical quality control of day surgery for palmar hyperhidrosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 TU Yuanrong ^1,2 ,  LIU Yanguo ³ ,  CHEN Jianfeng ^1,2 , Chinese Medical Association Thoracic Surgeons Branch Hyperhidrosis Subcommittee , Fujian Provincial Strait Medical and Health Exchange Association Hyperhidrosis Special Committee

1. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, P. R. China;
2. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University (Binhai Campus), National Regional Medical Center, Fuzhou, 350212, P. R. China;
3. Department of Thoracic Surgery, Peking University People's Hospital, Beijing, 100044, P. R. China;

Corresponding author：

TU Yuanrong, Email: tuyuanrong@hotmail.com; LIU Yanguo, Email: 2291058986@qq.com; CHEN Jianfeng, Email: 282781840@qq.com

Keywords：

Palmar hyperhidrosis; endoscopic thoracic sympathicotomy; day surgery; quality control; expert consensus

DOI：

10.7507/1007-4848.202409064

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Endoscopic thoracic sympathicotomy/sympathotomy (ETS) is the first-line treatment for palmar hyperhidrosis with best minimally invasive effect. In recent years, with the widespread development of ETS in the treatment of palmar hyperhidrosis, many medical centers list ETS surgery as the day surgery. Nevertheless, there is no expert consensus on medical quality control of day surgery for ETS yet. Therefore, the Chinese Medical Association Thoracic Surgeons Branch Hyperhidrosis Subcommittee, Sympathetic Neurosurgery Expert Committee of WU Jieping Medical Foundation, and Fujian Provincial Strait Medical and Health Exchange Association Hyperhidrosis Special Committee organized domestic experts to conduct repeated consultations and sufficient discussions based on domestic and foreign literatures, to formulate the "Chinese expert consensus on ETS optimization and surgical quality control of day surgery for palmar hyperhidrosis". It aims to provide a reference for the clinical diagnosis and treatment of palmar hyperhidrosis for thoracic surgery colleagues in our country, to enhance their management level and work efficiency, and ultimately to achieve standardized quality control.

1.	蔡林生, 余扬, 宁显谷, 等. 日间手术模式下胸腔镜胸交感神经切断术治疗手汗症的安全性和可行性. 中国胸心血管外科临床杂志, 2023, 30(2): 280-285.Cai LS, Yu Y, Ning XG, et al. Safety and feasibility of thoracic sympathectomy in the treatment of primary palmar hyperhidrosis based on ambulatory surgery. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(2): 280-285.
2.	曹守强, 董庆, 韩敬泉, 等. 日间手术治疗手汗症的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(6): 537-541.Cao SQ, Dong Q, Han JQ, et al. Day surgery for palmar hyperhidrosis: A case control study. Chin J Clin Thorac Cardiovasc Surg, 2016, 23(6): 537-541.
3.	贺海奇, 赵恒, 马磊, 等. 基于加速康复外科理念手汗症日间手术安全性与可行性的回顾性队列研究. 中国胸心血管外科临床杂志, 2023, 30(11): 1556-1560.He HQ, Zhao H, Ma L, et al. The feasibility and safety of day surgery for palmar hyperhidrosis based on the principles of enhanced recovery after surgery: A retrospective cohort study. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(11): 1556-1560.
4.	李冬, 沈琦斌, 陈超. 日间喉罩全麻联合单孔胸腔镜交感神经切断术治疗手汗症效果观察. 浙江医学, 2019, 41(10): 1059-1061.Li D, Shen QB, Chen C. Observation of the effect of day surgery on laryngeal mask anesthesia combined with single port thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis. Zhejiang Med J, 2019, 41(10): 1059-1061.
5.	Sang HW, Li GL, Xiong P, et al. Optimal targeting of sympathetic chain levels for treatment of palmar hyperhidrosis: An updated systematic review. Surg Endosc, 2017, 31(11): 4357-4369.
6.	Woo W, Kim BJ, Kang DY, et al. Patient experience and prognostic factors of compensatory hyperhidrosis and recurrence after endoscopic thoracic sympathicotomy. Surg Endosc, 2022, 36(11): 8340-8348.
7.	Dumont P. Side effects and complications of surgery for hyperhidrosis. Thorac Surg Clin, 2008, 18(2): 193-207.
8.	涂远荣, 杨劼, 刘彦国. 中国手汗症微创治疗专家共识. 中华胸心血管外科杂志, 2011, 27(8): 449-451.Tu YR, Yang J, Liu YG. Expert consensus on minimally invasive treatment of palmar hyperhidrosis in China. Chin J Thorac Cardiovasc Surg, 2011, 27(8): 449-451.
9.	涂远荣, 刘彦国. 中国手汗症微创治疗临床指南(2021年版). 中国胸心血管外科临床杂志, 2021, 28(10): 1133-1139.Tu YR, Liu YG. Clinical guideline for minimally invasive treatment of palmar hyperhidrosis in China (2021). Chin J Clin Thorac Cardiovasc Surg, 2021, 28(10): 1133-1139.
10.	Liu Y, Weng W, Tu Y, et al. Chinese expert consensus on the surgical treatment of primary palmar hyperhidrosis (2021 version). Chin Med J (Engl), 2022, 135(11): 1264-1271.
11.	Lowe NJ, Glaser DA, Eadie N, et al. Botulinum toxin type A in the treatment of primary axillary hyperhidrosis: A 52-week multicenter double-blind, randomized, placebo-controlled study of efficacy and safety. J Am Acad Dermatol, 2007, 56(4): 604-611.
12.	涂远荣. 手汗症现代微创治疗. 福建省科学技术出版社, 2007.Tu YR. Current minimally invasive surgery of palmar hyperhidrosis. Fujian Science & Technology Publishing House, 2007.
13.	涂远荣, 李旭, 林敏, 等. 电视胸腔镜胸交感神经干切断术治疗手汗症588例疗效分析. 中华外科杂志, 2007, 45(22): 1527-1529.Tu YR, Li X, Lin M, et al. Video-assisted thoracoscopic sympathicotomy for the treatment of palmar hyperhldrosis in 588 cases. Chin J Surg, 2007, 45(22): 1527-1529.
14.	涂远荣, 姚志雄, 李旭, 等. 喉罩麻醉和胸膜活检镜在手汗症手术中的应用. 中华胸心血管外科杂志, 2009, 25(3): 203-204.Tu YR, Yao ZX, Li X, et al. The application of laryngeal mask anesthesia and pleural biopsy mirror in the surgery of palmar hyperhidrosis. Chin J Thorac Cardiovasc Surg, 2009, 25(3): 203-204.
15.	涂远荣, 林敏, 陈剑锋, 等. 胸交感神经切断术治疗原发性手汗症2206例: 10年结果和分析. 中国微创外科杂志, 2017, 17(2): 99-103.Tu YR, Lin M, Chen JF, et al. Analysis of 10 years of outcomes among 2206 cases of endoscopic thoracic sympathotomy for primary palmar hyperhidrosis. Chin J Min Inv Surg, 2017, 17(2): 99-103.
16.	Chen J, Liu Y, Yang J, et al. Endoscopic thoracic sympathicotomy for primary palmar hyperhidrosis: A retrospective multicenter study in China. Surgery, 2019, 166(6): 1092-1098.
17.	Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: International expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
18.	Adar R, Kurchin A, Zweig A, et al. Palmar hyperhidrosis and its surgical treatment: A report of 100 cases. Ann Surg, 1977, 186(1): 34-41.
19.	林敏, 涂远荣, 赖繁彩, 等. 经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗手汗症. 中华医学杂志, 2013, 93(41): 3300-3301.Lin M, Tu YR, Lai FC, et al. Transaxillary concealing single incision endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis: A novel surgical approach. Natl Med J China, 2013, 93(41): 3300-3301.
20.	涂远荣, 赖繁彩, 李旭, 等. 胸腔镜经乳晕单切口胸交感神经切断术治疗手汗症. 中华医学杂志, 2011, 91(44): 3131-3133.Tu YR, Lai FC, Li X, et al. Trans-areola single port endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis: A new surgical approach. Natl Med J China, 2011, 91(44): 3131-3133.
21.	Zhu LH, Du Q, Chen L, et al. One-year follow-up period after transumbilical thoracic sympathectomy for hyperhidrosis: Outcomes and consequences. J Thorac Cardiovasc Surg, 2014, 147(1): 25-28.
22.	Yang Y, Zeng L, An Z, et al. Minimally invasive thoracic sympathectomy for palmar hyperhidrosis via a single unilateral incision approach by the pleura videoscope. J Laparoendosc Adv Surg Tech A, 2014, 24(5): 328-332.
23.	陈安平, 宋永祥, 徐刚, 等. 剑突下单孔胸腔镜双侧交感神经链切断术治疗手汗症15例治疗体会. 遵义医学院学报, 2015, 38(5): 509-511.Chen AP, Song YX, Xu G, et al. Treatment of xiphoid single -hole bilateral thoracoscopic sympathectomy forpalmar hyperhidrosis of 15 cases. J Zunyi Med Univ, 2015, 38(5): 509-511.
24.	Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg, 2011, 91(5): 1642-1648.
25.	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.
26.	安燚, 王振军. 日间手术的概念和基本问题. 中国实用外科杂志, 2007, 27(1): 38-40.An Y, Wang ZJ. The concept and basic issues of day surgery. Chin J Pract Surg, 2007, 27(1): 38-40.
27.	Roberts L. Day surgery—National and international: From the past to the future. J Am Surg, 2006, 12(3): 143-145.
28.	Hodgson JA, Cyr KL, Sweitzer B. Patient selection in ambulatory surgery. Best Pract Res Clin Anaesthesiol, 2023, 37(3): 357-372.
29.	Li X, Liu Y, Zhou Y, et al. Day surgery unit robotics thoracic surgery: Feasibility and management. J Cancer Res Clin Oncol, 2023, 149(10): 7831-7836.
30.	涂远荣, 杜泉, 陈剑锋, 等. 胸腔镜下扩大胸交感神经切断术治疗极重度代偿性多汗一例. 中国胸心血管外科临床杂志, 2024, 31(7): 1071-1073.Tu YR, Du Q, Chen JF, et al. Endoscopic expanded sympathotomy for the treatment of extremely severe compensatory hyperhidrosis: A case report. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(7): 1071-1073.
31.	Gebitekin C, Melek H, Cetinkaya G, et al. Intercostal nerve reconstruction for severe compensatory hyperhidrosis: The Gebitekin technique. Ann Thorac Surg, 2021, 111(6): e443-e446.

1. 蔡林生, 余扬, 宁显谷, 等. 日间手术模式下胸腔镜胸交感神经切断术治疗手汗症的安全性和可行性. 中国胸心血管外科临床杂志, 2023, 30(2): 280-285.Cai LS, Yu Y, Ning XG, et al. Safety and feasibility of thoracic sympathectomy in the treatment of primary palmar hyperhidrosis based on ambulatory surgery. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(2): 280-285.
2. 曹守强, 董庆, 韩敬泉, 等. 日间手术治疗手汗症的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(6): 537-541.Cao SQ, Dong Q, Han JQ, et al. Day surgery for palmar hyperhidrosis: A case control study. Chin J Clin Thorac Cardiovasc Surg, 2016, 23(6): 537-541.
3. 贺海奇, 赵恒, 马磊, 等. 基于加速康复外科理念手汗症日间手术安全性与可行性的回顾性队列研究. 中国胸心血管外科临床杂志, 2023, 30(11): 1556-1560.He HQ, Zhao H, Ma L, et al. The feasibility and safety of day surgery for palmar hyperhidrosis based on the principles of enhanced recovery after surgery: A retrospective cohort study. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(11): 1556-1560.
4. 李冬, 沈琦斌, 陈超. 日间喉罩全麻联合单孔胸腔镜交感神经切断术治疗手汗症效果观察. 浙江医学, 2019, 41(10): 1059-1061.Li D, Shen QB, Chen C. Observation of the effect of day surgery on laryngeal mask anesthesia combined with single port thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis. Zhejiang Med J, 2019, 41(10): 1059-1061.
5. Sang HW, Li GL, Xiong P, et al. Optimal targeting of sympathetic chain levels for treatment of palmar hyperhidrosis: An updated systematic review. Surg Endosc, 2017, 31(11): 4357-4369.
6. Woo W, Kim BJ, Kang DY, et al. Patient experience and prognostic factors of compensatory hyperhidrosis and recurrence after endoscopic thoracic sympathicotomy. Surg Endosc, 2022, 36(11): 8340-8348.
7. Dumont P. Side effects and complications of surgery for hyperhidrosis. Thorac Surg Clin, 2008, 18(2): 193-207.
8. 涂远荣, 杨劼, 刘彦国. 中国手汗症微创治疗专家共识. 中华胸心血管外科杂志, 2011, 27(8): 449-451.Tu YR, Yang J, Liu YG. Expert consensus on minimally invasive treatment of palmar hyperhidrosis in China. Chin J Thorac Cardiovasc Surg, 2011, 27(8): 449-451.
9. 涂远荣, 刘彦国. 中国手汗症微创治疗临床指南(2021年版). 中国胸心血管外科临床杂志, 2021, 28(10): 1133-1139.Tu YR, Liu YG. Clinical guideline for minimally invasive treatment of palmar hyperhidrosis in China (2021). Chin J Clin Thorac Cardiovasc Surg, 2021, 28(10): 1133-1139.
10. Liu Y, Weng W, Tu Y, et al. Chinese expert consensus on the surgical treatment of primary palmar hyperhidrosis (2021 version). Chin Med J (Engl), 2022, 135(11): 1264-1271.
11. Lowe NJ, Glaser DA, Eadie N, et al. Botulinum toxin type A in the treatment of primary axillary hyperhidrosis: A 52-week multicenter double-blind, randomized, placebo-controlled study of efficacy and safety. J Am Acad Dermatol, 2007, 56(4): 604-611.
12. 涂远荣. 手汗症现代微创治疗. 福建省科学技术出版社, 2007.Tu YR. Current minimally invasive surgery of palmar hyperhidrosis. Fujian Science & Technology Publishing House, 2007.
13. 涂远荣, 李旭, 林敏, 等. 电视胸腔镜胸交感神经干切断术治疗手汗症588例疗效分析. 中华外科杂志, 2007, 45(22): 1527-1529.Tu YR, Li X, Lin M, et al. Video-assisted thoracoscopic sympathicotomy for the treatment of palmar hyperhldrosis in 588 cases. Chin J Surg, 2007, 45(22): 1527-1529.
14. 涂远荣, 姚志雄, 李旭, 等. 喉罩麻醉和胸膜活检镜在手汗症手术中的应用. 中华胸心血管外科杂志, 2009, 25(3): 203-204.Tu YR, Yao ZX, Li X, et al. The application of laryngeal mask anesthesia and pleural biopsy mirror in the surgery of palmar hyperhidrosis. Chin J Thorac Cardiovasc Surg, 2009, 25(3): 203-204.
15. 涂远荣, 林敏, 陈剑锋, 等. 胸交感神经切断术治疗原发性手汗症2206例: 10年结果和分析. 中国微创外科杂志, 2017, 17(2): 99-103.Tu YR, Lin M, Chen JF, et al. Analysis of 10 years of outcomes among 2206 cases of endoscopic thoracic sympathotomy for primary palmar hyperhidrosis. Chin J Min Inv Surg, 2017, 17(2): 99-103.
16. Chen J, Liu Y, Yang J, et al. Endoscopic thoracic sympathicotomy for primary palmar hyperhidrosis: A retrospective multicenter study in China. Surgery, 2019, 166(6): 1092-1098.
17. Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: International expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
18. Adar R, Kurchin A, Zweig A, et al. Palmar hyperhidrosis and its surgical treatment: A report of 100 cases. Ann Surg, 1977, 186(1): 34-41.
19. 林敏, 涂远荣, 赖繁彩, 等. 经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗手汗症. 中华医学杂志, 2013, 93(41): 3300-3301.Lin M, Tu YR, Lai FC, et al. Transaxillary concealing single incision endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis: A novel surgical approach. Natl Med J China, 2013, 93(41): 3300-3301.
20. 涂远荣, 赖繁彩, 李旭, 等. 胸腔镜经乳晕单切口胸交感神经切断术治疗手汗症. 中华医学杂志, 2011, 91(44): 3131-3133.Tu YR, Lai FC, Li X, et al. Trans-areola single port endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis: A new surgical approach. Natl Med J China, 2011, 91(44): 3131-3133.
21. Zhu LH, Du Q, Chen L, et al. One-year follow-up period after transumbilical thoracic sympathectomy for hyperhidrosis: Outcomes and consequences. J Thorac Cardiovasc Surg, 2014, 147(1): 25-28.
22. Yang Y, Zeng L, An Z, et al. Minimally invasive thoracic sympathectomy for palmar hyperhidrosis via a single unilateral incision approach by the pleura videoscope. J Laparoendosc Adv Surg Tech A, 2014, 24(5): 328-332.
23. 陈安平, 宋永祥, 徐刚, 等. 剑突下单孔胸腔镜双侧交感神经链切断术治疗手汗症15例治疗体会. 遵义医学院学报, 2015, 38(5): 509-511.Chen AP, Song YX, Xu G, et al. Treatment of xiphoid single -hole bilateral thoracoscopic sympathectomy forpalmar hyperhidrosis of 15 cases. J Zunyi Med Univ, 2015, 38(5): 509-511.
24. Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg, 2011, 91(5): 1642-1648.
25. 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.
26. 安燚, 王振军. 日间手术的概念和基本问题. 中国实用外科杂志, 2007, 27(1): 38-40.An Y, Wang ZJ. The concept and basic issues of day surgery. Chin J Pract Surg, 2007, 27(1): 38-40.
27. Roberts L. Day surgery—National and international: From the past to the future. J Am Surg, 2006, 12(3): 143-145.
28. Hodgson JA, Cyr KL, Sweitzer B. Patient selection in ambulatory surgery. Best Pract Res Clin Anaesthesiol, 2023, 37(3): 357-372.
29. Li X, Liu Y, Zhou Y, et al. Day surgery unit robotics thoracic surgery: Feasibility and management. J Cancer Res Clin Oncol, 2023, 149(10): 7831-7836.
30. 涂远荣, 杜泉, 陈剑锋, 等. 胸腔镜下扩大胸交感神经切断术治疗极重度代偿性多汗一例. 中国胸心血管外科临床杂志, 2024, 31(7): 1071-1073.Tu YR, Du Q, Chen JF, et al. Endoscopic expanded sympathotomy for the treatment of extremely severe compensatory hyperhidrosis: A case report. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(7): 1071-1073.
31. Gebitekin C, Melek H, Cetinkaya G, et al. Intercostal nerve reconstruction for severe compensatory hyperhidrosis: The Gebitekin technique. Ann Thorac Surg, 2021, 111(6): e443-e446.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesChinese expert consensus on ETS optimization and surgical quality control of day surgery for palmar hyperhidrosis

Abstract Full text Figures/Tables Video References Cited by

Format

Content