Okura T, Suzuki T, Suzuki S, Kitami A, Hori G
Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
J Laparoendosc Adv Surg Tech A. 1998 Jun;8(3):161-5. doi: 10.1089/lap.1998.8.161.
Endoscopic transthoracic sympathectomy (ETS) is a minimally invasive method, causing only small injuries and few complications, and requires only a short period of hospitalization. Therefore, this method has been applied to patients with palmar hyperhidrosis to whom the conventional transthoracic sympathectomy, which is much more invasive, or thoracic sympathetic blockade, which often causes complications, cannot be applied. Conventional thoracoscopes, such as a resectoscope 8 mm in diameter for urological operations, or a thoracoscope 5 mm in diameter, were usually used for this purpose, but they cause operative injuries. We performed ETS using a thoracoscope 2 mm in diameter (MiniSite 2 mm 0 degrees, USSC171303). Its visual field and handling were not inferior to those of conventional thoracoscopes, and the operative injuries were only 2 mm in size. For the patient, a small scar of this size means virtually no scar.
内镜下经胸交感神经切除术（ETS）是一种微创方法，仅造成微小损伤且并发症少，住院时间短。因此，该方法已应用于手掌多汗症患者，而传统的经胸交感神经切除术创伤大得多，或胸交感神经阻滞术常引起并发症，均不适用于此类患者。以往通常使用直径8毫米的泌尿外科手术用切除镜或直径5毫米的胸腔镜等传统胸腔镜进行该手术，但会造成手术损伤。我们使用直径2毫米的胸腔镜（MiniSite 2毫米0度，USSC171303）进行ETS手术。其视野和操作并不逊色于传统胸腔镜，手术切口仅2毫米。对于患者来说，这么小的疤痕几乎相当于没有疤痕。
