Chen Jian-Ting, Liao Chih-Pin, Chiang Heng-Chieh, Wang Bing-Yen
Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua City, Taiwan.
Department of Surgery, Changhua Christian Hospital, Changhua City, Taiwan.
Interact Cardiovasc Thorac Surg. 2015 Jul;21(1):119-20. doi: 10.1093/icvts/ivv073. Epub 2015 Mar 29.
We describe the first case of severe palmar hyperhidrosis treated with single-incision subxiphoid thoracoscopic ablative sympathectomy, bilaterally, at T3 level. The single-incision subxiphoid thoracoscopic approach required only a 2-cm incision in the upper abdomen. In addition, the technique does not cause postoperative intercostal neuropathy and postoperative pain is minimal as the intercostal space is bypassed. Total operative time was ∼60 min and the volume of blood loss was 10 ml. The patient was discharged from the hospital the next day with complete remission of her symptoms. Excess palmar sweating released after operation and there was no compensatory sweating after a 6-month follow-up.
我们描述了首例采用单切口剑突下胸腔镜T3水平双侧消融性交感神经切除术治疗重度手掌多汗症的病例。单切口剑突下胸腔镜手术仅需在上腹部做一个2厘米的切口。此外，该技术不会导致术后肋间神经病变，且由于避开了肋间间隙，术后疼痛极小。总手术时间约为60分钟，失血量为10毫升。患者术后第二天出院，症状完全缓解。术后手掌多汗症状消失，6个月随访后无代偿性出汗。
