手掌多汗症に対する胸腔鏡下交感神経遮断術の検討

Abstract

To assess the effects of endoscopic transthoracic sympathectomy (ETS) for palmer hyperhidrosis, we performed the retrospective study included chart reviews and outpatient assessments. Twenty-two patients (19 females and 3 males, mean age 26.2 years) with palmer hyperhidrosis underwent bilateral T2-T3 ETS from October 1997 to December 1998 in our hospital. The symptomatic improvement rate of ETS was 100%. All patients suffered from compensatory sweating, which was the main cause of patients' dissatisfaction postoperatively. Five patients experienced other complications, including pneumothorax (one case), shoulder pain (two cases) and intercostal neuralgia (two cases). There was no severe complication in our series. We conclude that EST is an effective and safety treatment for palmer hyperhidrosis. However, all patients need to be warned of the common complications, particularly compensatory sweating, before surgery.