Kopelman D, Schein M, Hashmonai M
Dept of Surgery B, Rambam Medical Center, Haifa.
Harefuah. 1993 Jun 15;124(12):748-50, 796.
During the past year we have used the thoracoscopic approach in performing bilateral upper dorsal sympathectomies for the treatment of palmar hyperhidrosis. We present our first 16 patients. Histological examination proved that sympathetic ganglia had been resected in all 32 procedures. Immediately after operation all hands were completely dry and 31 of them remained so on follow-up 5 months later (97% success rate). The main operative complications were bleeding in 3 cases (9.4%; only 1 severe), and chest and back pain for more than 1 week in 8 (50%). The main late sequela was compensatory hyperhidrosis of the chest and back in 10 cases (62%).
在过去一年中，我们采用胸腔镜方法进行双侧上胸段交感神经切除术治疗手掌多汗症。我们报告了首批16例患者。组织学检查证实，在全部32例手术中均已切除交感神经节。术后即刻所有患者的手部均完全干燥，5个月后随访时，其中31例仍保持如此（成功率97%）。主要手术并发症为3例出血（9.4%；仅1例严重），8例（50%）出现胸部和背部疼痛超过1周。主要的晚期后遗症是10例（62%）出现胸部和背部代偿性多汗。
