Endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery and enhanced recovery mode: A retrospective cohort study in a single center
- VernacularTitle:日间快速康复模式下胸腔镜交感神经切断术治疗手汗症的单中心回顾性队列研究
- Author:
Anping CHEN
1
;
Ming GONG
1
;
Lan LI
2
,
3
;
Cheng CHEN
1
;
Wendong QU
1
;
Xu HAN
1
;
Yongxiang SONG
1
Author Information
1. Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, P. R. China
2. Hemodialysis Room, The First People'
3. s Hospital of Zunyi, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, P. R. China
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracoscopic surgery;
sympathicotomy;
ambulatory surgery;
primary hyperhidrosis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(03):301-305
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety of endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery mode. Methods Retrospective analysis was performed on the clinical data of 158 patients with primary hyperhidrosis who received endoscopic thoracic sympathicotomy in the Affiliated Hospital of Zunyi Medical University from January 2019 to March 2021. There were 68 (43.2%) males and 90 (56.8%) females with an average age of 14-33 (20.5±3.1) years. The basic information of the patients, operation time, intraoperative blood loss, postoperative pain score, hospitalization expenses and postoperative complications were observed and recorded. Results All surgeries were successfully completed and the patients were discharged as planned. The operation time was 41.8±13.9 min, the intraoperative blood loss was 10.5±7.3 mL, the postoperative anesthesia recovery time was 15.0±5.9 min, and the pain score was 3.0±0.9 points. The total length of hospitalization was 1.6±1.0 days. The total postoperative expenses were 9 471.7±1 698.9 yuan. Pneumothorax occurred after the operation in 3 patients. Telephone follow-up on the 30th day after the operation showed no recurrence of sweaty hands, pneumothorax or rapid heart rate, and no serious complications or death related to the day operation within 30 days after the operation. Conclusion Endoscopic thoracic sympathicotomy based on ambulatory surgery mode is safe and effective in the treatment of primary hyperhidrosis.
