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Treatment of hyperhidrosis by thoracoscopic sympathectomy

山口医学 Volume 50 Issue 2 Page 609-614
published_at 2001-04-30
B030050000203.pdf
[fulltext] 741 KB
Title
手掌多汗症に対する胸腔鏡下交感神経遮断術
Treatment of hyperhidrosis by thoracoscopic sympathectomy
Creators Sugi Kazuro
Creators Sakano Hisashi
Creators Satoh Yasushi
Source Identifiers
Creator Keywords
胸腔鏡 レゼクトスコープ 日帰り手術 交感神経遮断術
We report our thoracoscopic procedure using a small diameter hysteroresectoscope (24 Fr, Olympus TM, Tokyo, Japan) and its outcome. Twenty-four patients (8 males and 16 females) suffering from palmar hyperhidrosis underwent sequential bilateral thoracoscopic sympathectomy (Th2-4)at our institution. Their ages ranged from 7 to 71 years, with a mean age of 22 years. Under general anesthesia, the patient was placed in the semi-Fowler position and a small port was made at the axilla. The invasiveness of this procedure, including the cosmetic effect, is decreased by the small caliber of the thoracoscope. All patients were admitted on the moming of the operation and were discharged on the day after. Their palmar hyperhidrosis showed a high improvement rate (95.8%) postoperatively. Compensatory sweating, which is the most troublesome complication of this procedure, occurred in 54.2% of the patients. This treatment is minimally invasive and very effective.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2001-04-30
Rights
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
[isVersionOf] [NAID]http://ci.nii.ac.jp/naid/110002774064/
Schools 医学部