Libson Shai, Kirshtein Boris, Mizrahi Solly, Lantsberg Leonid
Department of Surgery "A," Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):511-3. doi: 10.1097/SLE.0b013e318136e3a1.
The study is a retrospective review of 60 patients undergoing bilateral T2-T3 thoracoscopic sympathectomy for palmar hyperhidrosis in our department between 1997 and 2003. The study was based on a telephone questionnaire and medical chart review. Forty patients (67%) replied to the questionnaire and were included in the study. Postoperative complications, therapeutic results, patient satisfaction, and the severity of compensatory sweating (CS) were assessed. In all patients both palms were dry at the end of surgery. Postoperative complications included permanent unilateral Horner syndrome, wound infection, and residual pneumothorax resolving after thoracal drainage, in one patient each. CS with different severity occurred in 35 patients (87.5%). Six patients (15%) regretted undergoing the operation due to the extent and severity of the CS seriously affecting their quality of life. Thoracoscopic sympathectomy is a simple procedure with a high success rate. However, CS is a serious complication and a significant number of patients may regret undergoing the operation; a careful selection of patients and comprehensive explanation are advisable.
本研究是对1997年至2003年间在我科接受双侧T2 - T3胸腔镜交感神经切除术治疗手掌多汗症的60例患者进行的回顾性研究。该研究基于电话问卷调查和病历审查。40例患者（67%）回复了问卷并纳入研究。评估了术后并发症、治疗效果、患者满意度以及代偿性出汗（CS）的严重程度。所有患者术后双掌均干燥。术后并发症包括永久性单侧霍纳综合征、伤口感染和胸腔引流后自行吸收的残余气胸，各有1例患者出现。35例患者（87.5%）出现了不同严重程度的CS。6例患者（15%）因CS的程度和严重性严重影响生活质量而后悔接受手术。胸腔镜交感神经切除术是一种成功率高的简单手术。然而，CS是一种严重的并发症，相当数量的患者可能会后悔接受手术；建议仔细挑选患者并进行全面解释。
