Cohen Z, Shinar D, Levi I, Mares A J
Department of Pediatric Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Pediatr Surg. 1995 Mar;30(3):471-3. doi: 10.1016/0022-3468(95)90058-6.
After 20 years of experience with the "open" transaxillary approach, the authors are presently performing the thoracoscopic technique for upper thoracic sympathectomy in severe primary hyperhidrosis. During a period of 14 months, 23 operations were performed and 22 patients had immediate and permanent relief of palmar sweating. The immediate postoperative course was uneventful in all cases. Hospitalization was short, and all patients returned to school and full activity 3 to 5 days after operation. These initial results compare favorably to the "open" method and, pending further experience, are actually better in terms of less pain, early discharge, quicker return to normal activity, and a smaller, less conspicuous scar.
在采用“开放”经腋窝入路20年之后，作者目前正在为严重原发性多汗症患者实施胸腔镜下胸上段交感神经切除术。在14个月的时间里，共进行了23例手术，22例患者的手掌多汗症状立即得到了永久性缓解。所有病例术后即刻过程均顺利。住院时间短，所有患者在术后3至5天就返回学校并完全恢复活动。这些初步结果与“开放”手术方法相比更具优势，在积累更多经验之前，实际上在疼痛减轻、早期出院、更快恢复正常活动以及疤痕更小、更不明显方面表现更佳。
