TITLE

Upper dorsal endoscopic thoracic sympathectomy: a comparison of one- and two-port ablation techniques

AUTHOR(S)
Murphy, Michael O.; Ghosh, Jonathan; Khwaja, Nadeem; Murray, David; Halka, Anastassi T.; Carter, Andrew; Turner, Neill J.; Walker, Michael G.
PUB. DATE
August 2006
SOURCE
European Journal of Cardio-Thoracic Surgery;Aug2006, Vol. 30 Issue 2, p223
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: Facial blushing and hyperhidrosis, particularly in the facial, axillary or palmar distribution, are socially, professionally, and psychologically debilitating conditions. Endoscopic thoracic sympathectomy can be carried out through multiple ports or by using a single port and a modified thoracoscope with integrated electrocautery. We reviewed our own experience to compare outcomes between these methods. Methods: One hundred and nine consecutive endoscopic thoracic sympathectomies performed on 96 patients (M:F, 30:66) were examined with respect to operative method, symptom control, and patient satisfaction. Complete follow-up was available on 144 treated sides in 77 patients (80.2%), 38 treated with two ports, 39 performed by a one-port procedure. Mean age was 32.6 years (range 18–63) with a median follow-up of 25 months (range 5–85). Pooled data showed that the mean duration hospital stay was 1.6 nights with no deaths, conversions, or neurological injuries. Results: The one-port group showed superior outcomes in terms of hospital stay, rate of postoperative pneumothorax, and the need for chest drain insertion; however, there was no correlation between number of ports and patient satisfaction. The mean overall satisfaction rating out of 5 was 3.3 with 76.6% of patients rating the outcome as 3 or more. 90.9% had an initial improvement in symptoms, although 21 patients (27.3%) described a late return of symptoms. Conclusion: Endoscopic thoracic sympathectomy can be safely and effectively carried out using a single port with similar results to the traditional two-port procedure. The one-port procedure may allow for a shorter duration of stay and lower complication rate.
ACCESSION #
21665214

 

Related Articles

  • Does a thoracic epidural confer any additional benefit following video-assisted thoracoscopic pleurectomy for primary spontaneous pneumothorax? Fernandez, Marta I.; Martin-Ucar, Antonio E.; Lee, H.D.; West, Kevin J.; Wyatt, Richard; Waller, David A. // European Journal of Cardio-Thoracic Surgery;Apr2005, Vol. 27 Issue 4, p671 

    Abstract: Objective: Video-assisted thoracoscopic (VATS) bullectomy and apical pleurectomy has become the preferred procedure for recurrent or complicated primary spontaneous pneumothorax (SPN). Although thoracic epidural analgesia is the gold standard after open thoracic surgical procedures,...

  • The adequacy of single-incisional thoracoscopic surgery as a first-line endoscopic approach for the management of recurrent primary spontaneous pneumothorax: a retrospective study. Chih-Hao Chen; Shih-Yi Lee; Ho Chang; Hung-Chang Liu; Tzu-Ti Hung; Chao-Hung Chen // Journal of Cardiothoracic Surgery;2012, Vol. 7 Issue 1, p99 

    Background: Thoracoscopic surgery is a commonly used endoscopic surgical treatment approach in patients with primary spontaneous pneumothorax. The conventional thoracoscopic approach utilizes three or more small wounds for surgery. Currently, a single port approach is a potential alternative...

  • Video-assisted thoracoscopic surgery for pulmonary nodules: rationale for preoperative computed tomography-guided hookwire localization Ciriaco, Paola; Negri, Giampiero; Puglisi, Armando; Nicoletti, Roberto; Del Maschio, Alessandro; Zannini, Piero // European Journal of Cardio-Thoracic Surgery;Mar2004, Vol. 25 Issue 3, p429 

    Objectives: Video-assisted thoracic surgery (VATS) provides a minimally invasive means to resect pulmonary nodules (PN). Deep localization of PN may jeopardize VATS lung resection. The aim of this study was to establish the utility of preoperative computed tomography (CT)-guided hookwire...

  • Transthoracic Endoscopic Sympathectomy for Craniofacial Hyperhidrosis: Analysis of 46 Cases. Torng-Sen Lin; Hsin-Yuan Fang // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct2000, Vol. 10 Issue 5, p243 

    Investigates whether transthoracic endoscopic sympathectomy of the lower part of stellate ganglion is efficient and safe in the treatment of craniofacial hyperhidrosis. Definition of idiopathic hyperhidrosis; Distribution area of compensatory hyperhidrosis; Information on compensatory...

  • Transumbilical thoracic sympathectomy with an ultrathin flexible endoscope in a series of 38 patients. Hashmonai, Moshe; Licht, Peter; Schick, Christoph; Bischof, Georg; Cameron, Alan; Connery, Cliff; Campos, Jose // Surgical Endoscopy;Apr2014, Vol. 28 Issue 4, p1380 

    A letter to the editor is presented in response to the article "Transumbilical Thoracic Sympathectomy With an Ultrathin Flexible Endoscope in a Series of 38 Patients," by L. H. Zhu et al. in a 2013 issue.

  • Pneumothorax: an update. Currie, Graeme P.; Alluri, Ratna; Christie, Gordon I.; Legge, Joe S. // Postgraduate Medical Journal;Jul2007, Vol. 83 Issue 981, p461 

    Pneumothorax is a relatively common clinical problem which can occur in individuals of any age. Irrespective of aetiology (primary, or secondary to antecedent lung disorders or injury), immediate management depends on the extent of cardiorespiratory impairment, degree of symptoms and size of...

  • The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion. Up Huh; Yeong-Dae Kim; Jeong Su Cho; Hoseok I.; Jon Geun Lee; Jun Ho Lee // Korean Journal of Thoracic & Cardiovascular Surgery;2012, Vol. 45 Issue 5, p316 

    Background: The standard operative treatment of primary spontaneous pneumothorax (PSP) is thoracoscopic wedge resection, but necessity of pleurodesis still remains controversial. Nevertheless, pleural procedure after wedge resection such as pleurodesis has been performed in some patients who...

  • Video-Assisted Thoracoscopic Surgery for Recurrent Spontaneous Pneumothorax: The Long-term Benefit. Ben-Nun, A.; Soudack, M.; Best, L. A. // World Journal of Surgery;Mar2006, Vol. 30 Issue 3, p285 

    Background: Management of recurrent primary spontaneous pneumothorax by open surgery was considered the treatment of choice until recently. The major drawbacks of this management are the prolonged postoperative pain and cosmetic results. In the last decade, video-assisted thoracoscopic surgery...

  • Lobar emphysema with pneumothorax in an adult: report of a case. Muramatsu, Takashi; Furuichi, Motohiko; Nishii, Tatsuhiko; Ishimoto, Shinichirou; Shiono, Motomi // Surgery Today;May2013, Vol. 43 Issue 5, p539 

    A 31-year-old woman was transferred to our hospital for treatment of a right pneumothorax. She had presented initially with moderate dyspnea and coughing at a local clinic, where a chest radiograph showed a collapsed right lung. Chest computed tomography showed overinflation of the middle lobe...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics