Clinical application of ultra-micro 5 mm single-port endoscopic thoracic sympathicotomy in selected patients with primary palmar hyperhidrosis
- VernacularTitle:超微5 mm单孔胸腔镜交感神经链切断术在原发性手汗症手术中的临床应用
- Author:
Guangqiang SHAO
1
;
Dazhi PANG
1
;
Jitian ZHANG
1
;
Jinglong LI
1
;
Hongxia WANG
2
;
Zhihai LIU
1
;
Rutaiyang LIU
1
;
Yanan LIANG
1
Author Information
1. Department of Thoracic Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, 518040, Guangdong, P. R. China
2. Department of Respiratory Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, 518040, Guangdong, P. R. China
- Publication Type:Journal Article
- Keywords:
Ultra-micro 5 mm single-port;
endoscopic thoracic sympathicotomy;
primary palmar hyperhidrosis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(03):306-310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility and safety of ultra-micro 5 mm single-port endoscopic thoracic sympathicotomy in selected patients with primary palmar hyperhidrosis. Methods From March 1, 2018 to February 1, 2021, 90 patients with primary palmar hyperhidrosis who underwent ultra-micro 5 mm single-port endoscopic thoracic sympathicotomy at the Thoracic Surgery Department of the University of Hong Kong-Shenzhen Hospital. There were 47 males and 43 females, with a median age of 26.0 (22.0, 31.0) years. During the operation, T3 and/or T4 thoracic sympathetic nerve chain was transected using an ultra-micro 5 mm single-port incision near the areola or under the axilla. The surgical data of the patients were retrospectively reviewed and analyzed. Results All patients successfully completed the operation without major bleeding during the operation and no conversion to thoracotomy. There was no death or serious complication during the perioperative period. The operation time was 43.0 (23.0, 60.0) min, and the intraoperative blood loss was 2.0 (1.0, 2.0) mL. In the perioperative period, only one patient needed a tiny chest tube indwelling. The symptoms of hyperhidrosis on the hands all disappeared after the operation. The pain score on the postoperative day was 2.0 (2.0, 2.0) points. The hospital stay after surgery was 1.0 (1.0, 1.0) d. In the first month after the operation, the symptoms of hyperhidrosis on the hands were significantly relieved compared with those before the operation. The surgical incisions healed well, the wounds were concealed, and there was no wound infection or poor healing. The patients' satisfaction with the surgical incisions was 100.0%. After the operation, 14 (15.6%) patients had mild compensatory hyperhidrosis, 5 (5.6%) patients had moderate compensatory hyperhidrosis, and no patient had severe compensatory hyperhidrosis. Overall satisfaction rate was 94.0%. Conclusion The clinical application of ultra-micro 5 mm single-port endoscopic thoracic sympathicotomy in selected patients with primary palmar hyperhidrosis is safe and feasible. The surgical wound is extremely small and hidden, the operation time is short, the pain is very slight, and the clinical outcome is good. It can fully meet the patients' pursuit of beauty.
