Chao C, Tsai C T, Hsiao H C, Wu W C, Lee C K
Department of Surgery, Naval General Hospital, Kaohsiung, Taiwan, R.O.C.
Surg Laparosc Endosc. 1993 Oct;3(5):365-9.
We report our 1-year experience with transaxillary endoscopic sympathectomy in 150 patients with palmar hyperhidrosis (PH). The double-puncture technique of video laparoscopy was used in a transaxillary approach to perform the sympathectomy by either electrocautery (EC; 93.3%) or electroresection (ER; 7.7%). The procedure was successfully completed in 299 operated limbs and required conversion to open surgery in 1 operated limb because of extensive pleural adhesions. The mean operative time of EC was significantly less than that of ER. In a total of 29 procedures, there were three technical complications. Most patients (92.7%) were discharged after an overnight hospital stay. On the seventh postoperative day, the cure rate was 99.3%. During the mean follow-up period of 200.1 days, there was no recurrence in 130 patients. Apparent compensatory hyperhidrosis occurred in 28 patients (21.5%). In conclusion, transaxillary endoscopic sympathectomy offers a simple and effective treatment to patients with PH, resulting in a shorter hospital stay and convalescent period.
我们报告了150例手掌多汗症（PH）患者经腋窝内镜胸交感神经切断术的1年经验。采用电视腹腔镜双穿刺技术经腋窝入路，通过电灼（EC；93.3%）或电切（ER；7.7%）进行胸交感神经切断术。299个手术肢体手术均成功完成，1个手术肢体因广泛胸膜粘连而转为开放手术。EC的平均手术时间明显短于ER。29例手术中共有3例技术并发症。大多数患者（92.7%）住院一晚后出院。术后第7天，治愈率为99.3%。在平均200.1天的随访期内，130例患者无复发。28例患者（21.5%）出现明显的代偿性多汗。总之，经腋窝内镜胸交感神经切断术为PH患者提供了一种简单有效的治疗方法，缩短了住院时间和康复期。
