手掌多汗症に対する胸腔鏡下交感神経遮断術

概要

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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.
山口大学医学会の論文
2001-04-30