Dyson Center, Thoracic Oncology, Vassar Brothers Medical Center, 3rd Floor, 45 Reade Place, Poughkeepsie, NY 12601, USA.
Thorac Surg Clin. 2016 Nov;26(4):427-434. doi: 10.1016/j.thorsurg.2016.06.007. Epub 2016 Aug 4.
There is a small subset of patients who have undergone endoscopic thoracic sympathectomy for hyperhidrosis or facial blushing who are dissatisfied and would wish reversal. Compensatory sweating is the most common side effect that causes a person to regret surgery. Treatment options are limited and usually not effective in patients with severe side effects from sympathectomy. Nerve graft interposition has been proven to be effective in experimental models and small clinical series. Da Vinci robotic nerve graft reconstruction with interposition graft and direct suturing of nerve and high magnification dissection most closely mirrors standard nerve reconstruction principles when done as a minimally invasive procedure.
有一小部分接受胸腔镜交感神经切除术治疗多汗症或脸红的患者不满意，并希望进行逆转。代偿性出汗是最常见的副作用，导致患者后悔手术。治疗选择有限，对于交感神经切除术有严重副作用的患者通常无效。神经移植桥接已在实验模型和小临床系列中证明是有效的。达芬奇机器人神经移植重建术采用桥接移植物，并进行神经直接缝合和高倍解剖，当作为微创手术进行时，最能反映标准神经重建原则。
