Tu Yuan-rong, Lai Fan-cai, Li Xu, Lin Min, Duan Hong-bing, Fu Cheng-guo, Zhan Hua-hui, Zheng Yi-wen
Department of Thoracic Surgery, Fujian Medical University, Fuzhou, China.
Zhonghua Yi Xue Za Zhi. 2011 Nov 29;91(44):3131-3.
To evaluate the cosmetic effects and safety profiles of trans-areola single port endoscopic thoracic sympathectomy.
A retrospective study was conducted for 45 males and 7 females with palmar hyperhidrosis undergoing trans-areola single port endoscopic thoracic bilateral sympathectomy during April and June 2011.
All operations were successfully performed without severe morbidity and mortality. No conversion to open technique was necessary. The mean unilateral operative duration was 6 minutes (range: 5 - 8). The time was calculated from the time of skin incision to that of dressing application over wound. The mean hospitalization duration was 2.2 days (range: 2 - 3). The mean follow-up period was 2.8 months (range: 1 - 7). All patients achieved excellent cosmetic effects. No incision scar was found.
Trans-areola single port endoscopic thoracic sympathectomy is a safe and effective therapeutic procedure for primary palmar hyperhidrosis. The incision is undetectable with excellent cosmetic effects. The trans-areola route is a new ideal and promising approach for endoscopic thoracic sympathectomy.
评估乳晕单孔内镜胸交感神经切除术的美容效果和安全性。
对2011年4月至6月期间接受乳晕单孔内镜胸交感神经双侧切除术的45例男性和7例女性掌部多汗症患者进行回顾性研究。
所有手术均成功完成，无严重并发症和死亡病例。无需转为开放手术。单侧平均手术时间为6分钟（范围：5 - 8分钟）。该时间从皮肤切口时间计算至伤口敷料覆盖时间。平均住院时间为2.2天（范围：2 - 3天）。平均随访期为2.8个月（范围：1 - 7个月）。所有患者均获得了极佳的美容效果。未发现切口瘢痕。
乳晕单孔内镜胸交感神经切除术是治疗原发性掌部多汗症的一种安全有效的治疗方法。切口不可见，美容效果极佳。乳晕途径是内镜胸交感神经切除术一种新的理想且有前景的方法。
