Telaranta T
Privatix Clinic, Tampere, Finland.
Eur J Surg Suppl. 1998(580):17-8. doi: 10.1080/11024159850191076.
Thoracoscopic sympathicotomy by electrocautery is an irreversible procedure. Thus the indications must be meticulously considered before the final decision to operate is taken by both the surgeon and the patient. All possible side effects should be dealt with and written informed consent required. A case of an open nerve reconstruction of the divided sympathetic chains is presented. One year after the reconstruction the patient reported subjective relief of the compensatory oversweating and restoration of sweating in the face and the armpit. Reversible methods like clipping the sympathetic chain should be considered whenever feasible instead of the irreversible electrocoagulation of the sympathetic chain.
通过电灼进行的胸腔镜交感神经切断术是一种不可逆的手术。因此，在外科医生和患者做出最终手术决定之前，必须仔细考虑手术指征。应处理所有可能的副作用，并要求患者签署书面知情同意书。本文介绍了一例对离断的交感神经链进行开放性神经重建的病例。重建术后一年，患者报告代偿性多汗症状主观缓解，面部和腋窝恢复出汗。只要可行，应考虑采用如夹闭交感神经链等可逆方法，而非对交感神经链进行不可逆的电凝。
