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扩大单孔双侧交感神经切除术。

Extended uniportal bilateral sympathectomy.

作者信息

Migliore Marcello, Palazzolo Manuela, Pennisi Manuela, Nardini Marco, Borrata Francesco

机构信息

Section of Thoracic Surgery, Department of General and Medical Specialties, Policlinico University Hospital of Catania, University of Catania, Catania, Italy.

出版信息

J Vis Surg. 2018 Jan 30;4:27. doi: 10.21037/jovs.2017.09.12. eCollection 2018.

DOI:10.21037/jovs.2017.09.12
PMID:29445613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5803113/
Abstract

Hyperhidrosis affect 3% of the population and, despite benign nature of the disease, the individuals seek medical advice in order to improve their quality of life which can be severely compromised. The interruption of the sympathetic chain (sympathectomy) and of the nerve of Kuntz established its role as the definitive treatment of primary hyperhidrosis. In this manuscript, we present our extended uniportal technique with the aid of the video. Uniportal approach expresses all its benefit when applied for this procedure because there is no specimen to be retrieved and all the surgery is accomplished through a 1-2 cm port access.

摘要

多汗症影响3%的人口,尽管该疾病性质为良性,但患者仍寻求医疗建议以改善其可能受到严重影响的生活质量。交感神经链(交感神经切除术)和昆茨神经的切断确立了其作为原发性多汗症 definitive 治疗方法的地位。在本手稿中,我们借助视频展示了我们的扩展单孔技术。当应用于该手术时,单孔入路充分发挥了其优势,因为无需取出标本,所有手术均通过1 - 2厘米的端口入路完成。 (注:“definitive”此处暂未准确对应出合适中文词汇,保留英文)

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本文引用的文献

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Comparison of T2 and T3 sympathectomy for compensatory sweating on palmar hyperhidrosis.T2和T3交感神经切除术治疗手掌多汗症代偿性出汗的比较。
Medicine (Baltimore). 2017 Apr;96(16):e6697. doi: 10.1097/MD.0000000000006697.
2
Uniportal video-assisted thoracic surgery or single-incision video-assisted thoracic surgery for lung resection: clarifying definitions.单孔电视辅助胸腔镜手术或单切口电视辅助胸腔镜手术用于肺切除:明确定义
Future Oncol. 2016 Dec;12(23s):5-7. doi: 10.2217/fon-2016-0370. Epub 2016 Oct 7.
3
Initial History of Uniportal Video-Assisted Thoracoscopic Surgery.单孔电视辅助胸腔镜手术的初始历史。
Ann Thorac Surg. 2016 Jan;101(1):412-3. doi: 10.1016/j.athoracsur.2015.07.053.
4
Uniportal video assisted thoracic surgery: summary of experience, mini-review and perspectives.单孔电视辅助胸腔镜手术:经验总结、小型综述及展望
J Thorac Dis. 2015 Sep;7(9):E378-80. doi: 10.3978/j.issn.2072-1439.2015.07.35.
5
Bilateral single-port sympathectomy: long-term results and quality of life.双侧单孔交感神经切除术:长期结果和生活质量。
Biomed Res Int. 2013;2013:348017. doi: 10.1155/2013/348017. Epub 2013 Dec 8.
6
Morphometric analysis of thoracic ganglion neurons in subjects with and without primary palmar hyperhidrosis.原发性手掌多汗症患者与非患者胸神经节神经元的形态计量学分析
Ann Vasc Surg. 2014 May;28(4):1023-9. doi: 10.1016/j.avsg.2013.11.004. Epub 2013 Dec 14.
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The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis.胸外科医师协会多汗症手术治疗专家共识。
Ann Thorac Surg. 2011 May;91(5):1642-8. doi: 10.1016/j.athoracsur.2011.01.105.
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Endothoracic Sympathectomy.胸内交感神经切除术
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Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach.经腋窝单孔入路微创胸腔镜交感神经切除术治疗手掌多汗症
Interact Cardiovasc Thorac Surg. 2004 Sep;3(3):437-41. doi: 10.1016/j.icvts.2004.03.003.
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