Safety and feasibility of thoracic sympathectomy in the treatment of primary palmar hyperhidrosis based on ambulatory surgery
- VernacularTitle: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
- Author:
Linsheng CAI
1
;
Yang YU
2
,
3
;
Xiangu NING
2
,
3
;
Jiayang XU
1
;
Jia YE
1
;
Rongsheng LIU
1
;
Xinlong CHEN
2
,
3
;
Jun PENG
2
,
3
Author Information
1. School of Medicine, Kunming University of Science and Technology, Kunming, 650100, P. R. China
2. Department of Thoracic Surgery, The First People&rsquo
3. s Hospital of Yunnan Province Affiliated to Kunming University of Science and Technology, Kunming, 650100, P. R. China
- Publication Type:Journal Article
- Keywords:
Primary palmar hyperhidrosis;
video-assisted thoracoscopic sympathectomy;
enhanced recovery after surgery;
ambulatory surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(02):280-285
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical safety and feasibility of thoracic sympathectomy in the treatment of palmar hyperhidrosis based on ambulatory surgery. Methods A retrospective analysis of 74 patients who underwent thoracoscopic sympathectomy in the Department of Thoracic Surgery of the First People's Hospital of Yunnan Province from January 2017 to April 2021 was performed, including 35 males and 39 females aged 12-38 (21.32±4.13) years. Patients were divided into two groups according to different treatments. There were 34 patients in a control group (adopting traditional surgery), and 40 patients in an observation group (adopting ambulatory surgery). The clinical effects of the two groups were compared. Results No massive bleeding, conversion to thoracotomy, postoperative pneumo-thorax or severe pneumonia occured in all patients. Univariate analysis of intraoperative indexes showed that the two groups had no statistical difference in total hospitalization cost, operation time, anesthesia time or postoperative waiting time (P>0.05). The amount of intraoperative blood loss in the observation group was less than that in the control group (P<0.05). The time of postoperative out of bed and recovery of walking capacity and the incidence of electrolyte disturbance in the observation group were shorter or lower than those in the control group (P<0.05). There was no statistical difference in white blood count, neutrophils count or postoperative 24 h pulse oxygen saturation fluctuation peak between the two groups (P>0.05). Conclusion Based on the optimized diagnosis and treatment model, thoraco-scopic sympathectomy with laryngeal mask airway which is performed during ambulatory surgery, is feasible and worth popularizing in thoracic surgery.
