González López S L, Díaz Juárez M, Cabrera Machado C A, García González M, Cortiza Orbe G M, Quintero Delgado Z
Servicio de Cirugía Pediátrica. Hospital Pediátrico Provincial Docente "Paquito González Cueto". Cienfuegos, Cuba.
Cir Pediatr. 2019 Jul 29;32(3):115-120.
Primary hyperhidrosis is a benign disease that consists in the excessive production of sweat, mainly in the hands, axillas and feet. It may to interfere with the social and work life of the sufferer. It affects up to 3% of the population. In Cuba there are no epidemiological studies on its prevalence. One of the treatment modalities is videothoracoscopic sympathicotomy.
To describe the results of the videothoracoscopic sympathicotomy technique for two ports using apneic oxygenation to achieve lung collapse.
Descriptive, retrospective study of 27 cases operated by primary hyperhidrosis in the period from May 2015 to June 2018. Demographic and clinical characteristics of operated patients, results of the endoscopic surgical technique, postoperative complications and satisfaction were described.
The 27 patients were adolescents with ages ranging from 11 to 19 years old, it was more frequent in the female sex. All patients had total solution of the symptoms in the intraoperative period, demonstrated by the cessation of sweat in the palms or axillas and by the verification of the increase of the palmar temperature in the monitor. No patient had intraoperative complications. Compensatory sweating occurred in four patients and one had intercostal neuritis. 100% of the patients were satisfied with the result at 30 days of treatment.
It is a safe technique, with few complications, high satisfaction with the results and feasible to perform in pediatric hospitals with basic resources of minimal access surgery.
原发性多汗症是一种良性疾病，主要表现为手部、腋窝和足部过度出汗。它可能会干扰患者的社交和工作生活。该病影响着高达3%的人口。在古巴，尚无关于其患病率的流行病学研究。其中一种治疗方式是电视胸腔镜交感神经切断术。
描述使用无呼吸氧合实现肺萎陷的双孔电视胸腔镜交感神经切断术的结果。
对2015年5月至2018年6月期间因原发性多汗症接受手术的27例患者进行描述性回顾性研究。描述了手术患者的人口统计学和临床特征、内镜手术技术结果、术后并发症及满意度。
27例患者均为青少年，年龄在11至19岁之间，女性更为常见。所有患者在术中症状均完全缓解，表现为手掌或腋窝停止出汗，以及监测仪显示手掌温度升高。无患者发生术中并发症。4例患者出现代偿性出汗，1例发生肋间神经炎。100%的患者在治疗30天时对结果满意。
这是一种安全的技术，并发症少，结果满意度高，在具备微创外科基本资源的儿科医院即可实施。
