[症例報告]Hyperhidrosis Palmarisに対する胸腔鏡下両側胸部交感神経切除の1例

概要

論文の詳細を見る
Thoracoscopic sympathectomy for treatment of hyperhidrosis palmaris in a 17-year-old man is described. The patient had a history of 12 years' duration of excessive sweating of the hands. In surgery, he was placed in semi-Fowler's position under general anesthesia with endotracheal double lumen tube intubation. After deflation of the right lung, the 5mm trocar for introduction of the thoracoscope was introduced into the 4th intercostal space on the midaxillary line. Through the thoracoscope, the sympathetic trunk on the ribs and ganglions at the lower borders of the corresponding ribs were found easily. The other two trocars were introduced into the 5th and 6th intercostal space around the axillary line. The pleura covering the segments of the sympathetic trunk was incised longitudinally, and the T2-T5 sympathetic ganglions were dissected, stripped with grasping forceps and coagulated with diathermy. Following the right sympathectomy, the left sympathectomy was done using the same procedure without coagulation.The chest tubes were placed. The patient was satisfied with the control of hyperhidrosis palmaris achieved, and was discharged on the 3rd postoperative day. Fhoracoscopic sympathectomy is a time-saving method and a very simple and effective method in the treatment of hyperhidrosis.
琉球医学会,Ryukyu Medical Associationの論文