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World Journal of Surgery

, Volume 39, Issue 9, pp 2269–2273 | Cite as

Single-Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis

  • Ye Ning
  • Yanan Wang
  • Xiandong Tao
  • Hua Tang
  • Jingjing Jiang
  • Yonghua Li
  • Guangyuan Sun
  • Lei XueEmail author
  • Xuewei ZhaoEmail author
Original Scientific Report with Video

Abstract

Objectives

Thoracic sympathectomy is considered the most effective method to treat palmar hyperhidrosis. We presented a novel procedure for thoracic sympathectomy treating palmar hyperhidrosis which could be performed under monitored anesthesia care. The aim of this study was to evaluate the continuing efficacy and safety of this innovative surgery.

Method

From May 2011 to May 2014, we performed the single-port endoscopic thoracic sympathectomy (ETS) with a flexible thoracoscopy in 32 patients under monitored anesthesia care. All patients were followed up until today.

Results

Under monitored anesthesia, all patients were awake during the procedure. A proper sedation and local anesthesia make it possible for patients to communicate with surgeons. The symptoms disappeared immediately when the sympathectomy was done. No surgical complications occurred during the procedure. All patients were discharged from the hospital on the first morning of postoperative day. Compared with the traditional approach, the advantages of less operative costs, fewer hospital days, and better recovery were suggested.

Conclusions

Single-port ETS with flexible thoracoscopy under monitored anesthesia is a promising procedure for palmar hyperhidrosis.

Keywords

Dexmedetomidine Sufentanil Tropisetron Sympathetic Chain Palmar Hyperhidrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

This clinical study was supported by grants from National Natural Science Foundation of China (Grant Number: 81101833) and Shanghai Outstanding Young Physician Foundation (Grant Number 20120149).

Supplementary material

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Supplementary material 1 (FLV 4667 kb)
268_2015_3104_MOESM2_ESM.flv (5.1 mb)
Supplementary material 2 (FLV 5172 kb)

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Copyright information

© Société Internationale de Chirurgie 2015

Authors and Affiliations

  • Ye Ning
    • 1
  • Yanan Wang
    • 2
  • Xiandong Tao
    • 1
  • Hua Tang
    • 1
  • Jingjing Jiang
    • 2
  • Yonghua Li
    • 2
  • Guangyuan Sun
    • 1
  • Lei Xue
    • 1
    Email author
  • Xuewei Zhao
    • 1
    Email author
  1. 1.Department of Thoracic Surgery, Changzheng HospitalSecond Military Medical UniversityShanghaiChina
  2. 2.Department of Anesthesia, Changzheng HospitalSecond Military Medical UniversityShanghaiChina

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