Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Pediatr Dermatol. 2020 Sep;37(5):987-992. doi: 10.1111/pde.14273. Epub 2020 Jul 16.
Treatment of palmar and axillary primary focal hyperhidrosis (PFH) in children up to 16 years using thoracoscopic sympathicotomy is supported by scarce evidence. Therefore, this study aimed to summarize the results of our standardized bilateral, one-stage, single-port sympathicotomy (BOSS) in children up to 16 years of age.
Consecutive children (n = 14) up to 16 years of age undergoing BOSS between October 2011 and June 2015 in our institution were included in this retrospective study.
Recurrence of primary hyperhidrosis was noted in seven patients (50.0%), of whom five patients (35.7%) underwent reoperation. Reoperations were associated with placement of additional thoracoscopic ports (n = 1; 12.5%), intraoperative placement of pleural drains (n = 2; 25%), and prolonged air leak (n = 1; 12.5%). Despite the high recurrence and reoperation rates, overall patient satisfaction was high with a median satisfaction score of 7.5 (interquartile range of 1.75; range: 4-9).
Although the overall patient satisfaction score in our cohort was good, BOSS for the treatment of intolerable palmar and axillary PFH in children up to 16 years of age is associated with a high recurrence and reoperation rate.
胸腔镜交感神经切断术治疗 16 岁以下儿童手掌和腋窝原发性局部多汗症（PFH）的证据有限。因此，本研究旨在总结我们在 16 岁以下儿童中采用标准化双侧、一期、单端口交感神经切断术（BOSS）的结果。
回顾性纳入 2011 年 10 月至 2015 年 6 月期间在我院接受 BOSS 的连续 14 例 16 岁以下儿童。
7 例（50.0%）患者出现原发性多汗症复发，其中 5 例（35.7%）患者再次手术。再次手术与放置额外的胸腔镜端口（n=1；12.5%）、术中放置胸腔引流管（n=2；25%）和延长漏气时间（n=1；12.5%）有关。尽管复发和再次手术率较高，但总体患者满意度较高，中位数满意度评分为 7.5（四分位距 1.75；范围：4-9）。
尽管我们队列的总体患者满意度评分较好，但 BOSS 治疗 16 岁以下儿童无法耐受的手掌和腋窝 PFH 与高复发率和再次手术率相关。
