| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1999;68:1177-1181
© 1999 The Society of Thoracic Surgeons
a University Clinic of Surgery, Vienna General Hospital, Vienna, Austria
Address reprint requests to Dr Zacherl, University Clinic of Surgery, AKH 21.A, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
e-mail: johannes.zacherl{at}akh-wien.ac.at
Background. Thoracoscopic sympathicotomy has proved successful in the treatment of palmar hyperhidrosis. However, up to 8% of patients experience Horner’s syndrome, and about 50% show compensatory sweating. This study evaluates the role of video assistance in thoracoscopic sympathicotomy for primary hyperhidrosis of the upper limb.
Methods. Six hundred fifty-six thoracoscopic sympathicotomies were performed from below T1 to T4 in 369 patients. Of the operations, 558 were done under direct view (CTS group) and 98, with video assistance (VATS group). Follow-up was complete for 78.3% of patients after a median observation period of 16 years.
Results. Dry limbs were immediately achieved in 93% of the CTS group and 98% VATS group (p = 0.98). In the CTS group, Horner’s syndrome occurred after 2.2% of all operations and rhinitis in 8.3%. No patient in the VATS group showed any symptom of Horner’s triad (p = 0.03 versus CTS group) or rhinitis (p = 0.02 versus CTS group). Compensatory sweating was observed in 66.8% in the CTS group versus 69% in the VATS group (p = 0.73) and gustatory sweating, in 50.4% versus 27.6%, respectively (p = 0.01).
Conclusions. In performing thoracoscopic sympathicotomy for excessive upper-limb hyperhidrosis, we observed a significant decrease in the incidence of Horner’s syndrome, rhinitis, and gustatory sweating when the procedure was guided by video imaging.
This article has been cited by other articles:
|
|
 |
|
  Y. Liu, J. Yang, J. Liu, F. Yang, G. Jiang, J. Li, Y. Huang, and J. Wang Surgical treatment of primary palmar hyperhidrosis: a prospective randomized study comparing T3 and T4 sympathicotomy Eur. J. Cardiothorac. Surg., March 1, 2009; 35(3): 398 - 402. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Marhold, B. Izay, J. Zacherl, M. Tschabitscher, and C. Neumayer Thoracoscopic and Anatomic Landmarks of Kuntz's Nerve: Implications for Sympathetic Surgery Ann. Thorac. Surg., November 1, 2008; 86(5): 1653 - 1658. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Dewey, M. A. Herbert, S. L. Hill, S. L. Prince, and M. J. Mack One-Year Follow-Up After Thoracoscopic Sympathectomy for Hyperhidrosis: Outcomes and Consequences Ann. Thorac. Surg., April 1, 2006; 81(4): 1227 - 1233. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. B. Licht and H. K. Pilegaard Gustatory Side Effects After Thoracoscopic Sympathectomy Ann. Thorac. Surg., March 1, 2006; 81(3): 1043 - 1047. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. B. Licht, O. D. Jorgensen, L. Ladegaard, and H. K. Pilegaard Thoracoscopic Sympathectomy for Axillary Hyperhidrosis: The Influence of T4 Ann. Thorac. Surg., August 1, 2005; 80(2): 455 - 460. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. M. Cho, D. Y. Lee, and S. W. Sung Anatomical variations of rami communicantes in the upper thoracic sympathetic trunk Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 320 - 324. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Haider and N. Solish Focal hyperhidrosis: diagnosis and management Can. Med. Assoc. J., January 4, 2005; 172(1): 69 - 75. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Niinai, M. Kawamoto, and O. Yuge Severe pompholyx following endoscopic thoracic sympathectomy for palmar hyperhidrosis Interactive CardioVascular and Thoracic Surgery, December 1, 2004; 3(4): 593 - 595. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. P. Georghiou, M. Berman, V. Bobovnikov, B. A. Vidne, and M. Saute Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach Interactive CardioVascular and Thoracic Surgery, September 1, 2004; 3(3): 437 - 441. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Doolabh, S. Horswell, M. Williams, L. Huber, S. Prince, D. M. Meyer, and M. J. Mack Thoracoscopic sympathectomy for hyperhidrosis: indications and results Ann. Thorac. Surg., February 1, 2004; 77(2): 410 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-Y. Hsia, C.-Y. Chen, C.-P. Hsu, S.-E. Shai, S.-S. Yang, and C.-Y. Chuang Outpatient thoracoscopic sympathicotomy for axillary osmidrosis Eur. J. Cardiothorac. Surg., September 1, 2003; 24(3): 425 - 427. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Gossot, D. Galetta, A. Pascal, D. Debrosse, R. Caliandro, P. Girard, J.-B. Stern, and D. Grunenwald Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis Ann. Thorac. Surg., April 1, 2003; 75(4): 1075 - 1079. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. De Giacomo, E. A. Rendina, F. Venuta, D. Lauri, E. S. Mercadante, M. Anile, and G. F. Coloni Thoracoscopic sympathectomy for symptomatic arterial obstruction of the upper extremities Ann. Thorac. Surg., September 1, 2002; 74(3): 885 - 888. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Gossot, H. Kabiri, R. Caliandro, D. Debrosse, P. Girard, and D. Grunenwald Early complications of thoracic endoscopic sympathectomy: a prospective study of 940 procedures Ann. Thorac. Surg., April 1, 2001; 71(4): 1116 - 1119. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. P.C. Yim, H. P. Liu, T. W. Lee, S. Wan, and A. A. Arifi Needlescopic' video-assisted thoracic surgery for palmar hyperhidrosis Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 697 - 701. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
