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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10.	车国卫. 加速康复外科—临床应用加减之间? 中国肺癌杂志, 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.	毕琪, 骆华杰. 1997-2017年基于CNKI数据库的日间手术文献计量分析. 中国医院, 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.	于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
16.	俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学, 2015, 36(24): 5-7, 14.
17.	沈诚, 常帅, 周坤, 等. 加速康复外科和日间手术模式在胸外科中的应用现状及发展前景. 中国肺癌杂志, 2020, 23(9): 800-805.
18.	岳瀚逊, 张瑜, 马敏杰, 等. Tubeless经剑突下胸腔镜前纵隔肿瘤切除手术的病例对照研究. 中国胸心血管外科临床杂志, 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. 黄昌明, 涂儒鸿, 林建贤. 全腹腔镜胃癌根治术消化道重建技术与进展. 中华消化外科杂志, 2020, 19(9): 931-934.
3. 涂远荣, 刘彦国, 中国手汗症微创治疗临床指南编写委员会. 中国手汗症微创治疗临床指南 (2021 年版). 中国胸心血管外科临床杂志, 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. 涂远荣, 林敏, 陈剑锋, 等. 胸交感神经切断术治疗原发性手汗症2206例: 10年结果和分析. 中国微创外科杂志, 2017, 17 (2): 99-103.
8. 郎景和. 良好地发展妇科内镜手术. 中华妇产科杂志, 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. 车国卫. 加速康复外科—临床应用加减之间? 中国肺癌杂志, 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. 毕琪, 骆华杰. 1997-2017年基于CNKI数据库的日间手术文献计量分析. 中国医院, 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. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
16. 俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学, 2015, 36(24): 5-7, 14.
17. 沈诚, 常帅, 周坤, 等. 加速康复外科和日间手术模式在胸外科中的应用现状及发展前景. 中国肺癌杂志, 2020, 23(9): 800-805.
18. 岳瀚逊, 张瑜, 马敏杰, 等. Tubeless经剑突下胸腔镜前纵隔肿瘤切除手术的病例对照研究. 中国胸心血管外科临床杂志, 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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