The effect of endoscopic thoracic sympathectomy of 77 cases with palma-plantar hyperhidrosis

VernacularTitle:77例手-脚汗症经电视胸腔镜胸交感神经切断术的疗效分析
Author: Guoxiang CHEN ; Ping HUA ; Ju CHEN ; Lihua XIONG ; Deqiang PAN
Publication Type:Journal Article
Keywords: Hyperhidrosis; Sympathectomy; Thoracoscopes
From: Chinese Journal of Postgraduates of Medicine 2010;33(14):26-27
CountryChina
Language:Chinese
Abstract: Objective To analyse the effect of endoscopic thoracic sympathectomy of palma-plantar hyperhidrosis. Methods Between January 2006 and January 2009,77 cases with palma-plantar hyperhidrosis were operated by thoracoscope. Fifty-two cases of palma-axillary-plantar hyperhidrosis were performed sympathectomy of T2-T4 and 25 cases of palma-plantar were performed sympathectomy of T2-T3.Bilateral procedures were completed in the same position. Results After operation palmar hyperhidrosis and armpits hyperhidrosis all were cured. Of soles, 7 cases were completely dry, 34 cases nearly dry, 32 cases unchanged and 4 cases worse. There was no significant difference in the change of plantar hyperhidrosis between sympathectomy of T2-T3 and T2-T4 (P ＞ 0.05). Conclusions Bilateral single port for endoscopic thoracic sympathectomy produces slighter trauma and patients easily accept it. Plantar sweating can be relieved or nearly relieved in partial patients after thoracic sympathectomy. There is no difference in the effect of plantar hyperhidrosis between sympathectomy of T2-T3 and T2-T4.