Our Endoscopic Electrocautery of the Thoracic Sympathetic Chain
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概要
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Endoscopic thoracic sympathectomy for idiopathic palmar hyperhidrosis, thromboangitis obliterance, Raynaud's phenomenon, and reflex sympathetic dystrophy. A reviw of 113 sympathectomies: Endoscopic electrocautery of the thoracic sympathetic chain was conducted in 113 cases between January 1994 and February 1997. We report the results of treatment in these cases.Methods: The surgical technique using a urological resectoscope introduced by Claes was performed. The sympathetic chain was made visible through the resectoscope beneath the pleura over the heads of ribs. The tract was cauterized on the ribs ranging from the first to fourth.Paitent: Surgery was performed on 104 patients with palmar hyperhidrosis, Raynaud's phenomenon in 1 patient, thromboangitis obliterance in 2 patients, and reflex sympathetic distrophy in 6 patients. The follow-up study was done by questionaire.Results: Endoscopic electrocautery was unable to be completed in 6 sites of 113 patients, because of sever pleural adhesion. Complete perspiration recovered in 3 out of 74 patients who replied the questionaire.Two patients who had surgery for thromboangitis obliterance, one patient for Raynaud's phenomenon, 104 patients for palmar hyperhidrosis and two out of 6 patients for RSD showed an immediate improvement in symptoms. In early postoperative period, 214 of 221 palms (113 patients) showed remarkable decrese in sweating. Perspiration maintained in 2 palms.Conclusions: These results confirmed that the thoracoscopic sympathectomy was effective, safe and minimally invasive surgical method for the patients with palmar hyperhidrosis, RSD and chronic upper extremity ischemia.
- 一般社団法人 日本ペインクリニック学会の論文
一般社団法人 日本ペインクリニック学会 | 論文
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