Endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery and enhanced recovery mode: A retrospective cohort study in a single center_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Anping ¹ , GONG Ming ¹ , LI Lan ² , CHEN Cheng ¹ , QU Wendong ¹ , HAN Xu ¹ ,  SONG Yongxiang ¹

1. Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, P. R. China;
2. Hemodialysis Room, The First People's Hospital of Zunyi, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, P. R. China;

Corresponding?author：

SONG Yongxiang, Email: 375647557@qq.com

Keywords：

Video-assisted thoracoscopic surgery; sympathicotomy; ambulatory surgery; primary hyperhidrosis

DOI：

10.7507/1007-4848.202104089

Video：

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Objective To investigate the safety of endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery mode.Methods Retrospective analysis was performed on the clinical data of 158 patients with primary hyperhidrosis who received endoscopic thoracic sympathicotomy in the Affiliated Hospital of Zunyi Medical University from January 2019 to March 2021. There were 68 (43.2%) males and 90 (56.8%) females with an average age of 14-33 (20.5±3.1) years. The basic information of the patients, operation time, intraoperative blood loss, postoperative pain score, hospitalization expenses and postoperative complications were observed and recorded.Results All surgeries were successfully completed and the patients were discharged as planned. The operation time was 41.8±13.9 min, the intraoperative blood loss was 10.5±7.3 mL, the postoperative anesthesia recovery time was 15.0±5.9 min, and the pain score was 3.0±0.9 points. The total length of hospitalization was 1.6±1.0 days. The total postoperative expenses were 9 471.7±1 698.9 yuan. Pneumothorax occurred after the operation in 3 patients. Telephone follow-up on the 30th day after the operation showed no recurrence of sweaty hands, pneumothorax or rapid heart rate, and no serious complications or death related to the day operation within 30 days after the operation.Conclusion Endoscopic thoracic sympathicotomy based on ambulatory surgery mode is safe and effective in the treatment of primary hyperhidrosis.

Citation： CHEN Anping, GONG Ming, LI Lan, CHEN Cheng, QU Wendong, HAN Xu, SONG Yongxiang. Endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery and enhanced recovery mode: A retrospective cohort study in a single center. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(3): 301-305. doi: 10.7507/1007-4848.202104089 Copy

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2.	黃昌明, 涂儒鴻, 林建賢. 全腹腔鏡胃癌根治術消化道重建技術與進展. 中華消化外科雜志, 2020, 19(9): 931-934.
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5.	Lai YT, Yang LH, Chio CC, et al. Complications in patients with palmar hyperhidrosis treated with transthoracic endoscopic sympathectomy. Neurosurgery, 1997, 41(1): 110-113.
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9.	Karcioglu O, Topacoglu H, Dikme O, et al. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med, 2018, 36(4): 707-714.
10.	車國衛. 加速康復外科—臨床應用加減之間? 中國肺癌雜志, 2019, 22(11): 681-686.
11.	Li S, Zhou K, Che G, et al. Enhanced recovery programs in lung cancer surgery: Systematic review and meta-analysis of randomized controlled trials. Cancer Manag Res, 2017, 9: 657-670.
12.	畢琪, 駱華杰. 1997-2017年基于CNKI數據庫的日間手術文獻計量分析. 中國醫院, 2019, 23(1): 34-37.
13.	Vallières E, Pagé A, Verdant A. Ambulatory mediastinoscopy and anterior mediastinotomy. Ann Thorac Surg, 1991, 52(5): 1122-1126.
14.	Molins L, Fibla JJ, Pérez J, et al. Outpatient thoracic surgical programme in 300 patients: Clinical results and economic impact. Eur J Cardiothorac Surg, 2006, 29(3): 271-275.
15.	于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
16.	俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
17.	沈誠, 常帥, 周坤, 等. 加速康復外科和日間手術模式在胸外科中的應用現狀及發展前景. 中國肺癌雜志, 2020, 23(9): 800-805.
18.	岳瀚遜, 張瑜, 馬敏杰, 等. Tubeless經劍突下胸腔鏡前縱隔腫瘤切除手術的病例對照研究. 中國胸心血管外科臨床雜志, 2019, 26(4): 353-357.

1. Yun JK, Park I, Kim HR, et al. Long-term outcomes of video-assisted thoracoscopic lobectomy for clinical N1 non-small cell lung cancer: A propensity score-weighted comparison with open thoracotomy. Lung Cancer, 2020, 150: 201-208.
2. 黃昌明, 涂儒鴻, 林建賢. 全腹腔鏡胃癌根治術消化道重建技術與進展. 中華消化外科雜志, 2020, 19(9): 931-934.
3. 涂遠榮, 劉彥國, 中國手汗癥微創治療臨床指南編寫委員會. 中國手汗癥微創治療臨床指南 (2021 年版). 中國胸心血管外科臨床雜志, 2021, 28(10): 1133-1139.
4. Hornberger J, Grimes K, Naumann M, et al. Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol, 2004, 51(2): 274-286.
5. Lai YT, Yang LH, Chio CC, et al. Complications in patients with palmar hyperhidrosis treated with transthoracic endoscopic sympathectomy. Neurosurgery, 1997, 41(1): 110-113.
6. Ak M, Dincer D, Haciomeroglu B, et al. Temperament and character properties of primary focal hyperhidrosis patients. Health Qual Life Outcomes, 2013, 11: 5.
7. 涂遠榮, 林敏, 陳劍鋒, 等. 胸交感神經切斷術治療原發性手汗癥2206例: 10年結果和分析. 中國微創外科雜志, 2017, 17 (2): 99-103.
8. 郎景和. 良好地發展婦科內鏡手術. 中華婦產科雜志, 2002, 37(11): 641-642.
9. Karcioglu O, Topacoglu H, Dikme O, et al. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med, 2018, 36(4): 707-714.
10. 車國衛. 加速康復外科—臨床應用加減之間? 中國肺癌雜志, 2019, 22(11): 681-686.
11. Li S, Zhou K, Che G, et al. Enhanced recovery programs in lung cancer surgery: Systematic review and meta-analysis of randomized controlled trials. Cancer Manag Res, 2017, 9: 657-670.
12. 畢琪, 駱華杰. 1997-2017年基于CNKI數據庫的日間手術文獻計量分析. 中國醫院, 2019, 23(1): 34-37.
13. Vallières E, Pagé A, Verdant A. Ambulatory mediastinoscopy and anterior mediastinotomy. Ann Thorac Surg, 1991, 52(5): 1122-1126.
14. Molins L, Fibla JJ, Pérez J, et al. Outpatient thoracic surgical programme in 300 patients: Clinical results and economic impact. Eur J Cardiothorac Surg, 2006, 29(3): 271-275.
15. 于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
16. 俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
17. 沈誠, 常帥, 周坤, 等. 加速康復外科和日間手術模式在胸外科中的應用現狀及發展前景. 中國肺癌雜志, 2020, 23(9): 800-805.
18. 岳瀚遜, 張瑜, 馬敏杰, 等. Tubeless經劍突下胸腔鏡前縱隔腫瘤切除手術的病例對照研究. 中國胸心血管外科臨床雜志, 2019, 26(4): 353-357.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Endoscopic thoracic sympathicotomy in the treatment of primary hyperhidrosis based on ambulatory surgery and enhanced recovery mode: A retrospective cohort study in a single center

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