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首页> 外文期刊>Surgical Endoscopy >Outpatient endoscopic thoracic sympathectomy using 2-mm instruments.
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Outpatient endoscopic thoracic sympathectomy using 2-mm instruments.

机译：门诊内镜胸腔交感切除术使用2毫米器械。

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BACKGROUND: For a long time it has been known that sympathectomy is an effective treatment for hyperhidrosis and other conditions. The surgical options available until recently usually have required thoracotomy or large posterior incisions, and physicians generally have been reluctant to recommend surgery for most patients with "benign" disorders. Recently, thoracoscopic techniques have allowed surgeons to offer these patients a permanent solution with minimal surgical trauma. METHODS: In 20 patients, 30 endoscopic thoracic sympathectomies (ETS) were performed for several indications. Nine patients had bilateral sympathectomies. The procedures were performed on the day of admission, with the patient under general anesthesia using double lumen endotracheal intubation and hand temperature monitoring. Each lung was reinflated on completion of the sympathectomy, and residual pneumothorax aspirated before closure of the incisions. No placement of chest tubes was performed in the operating room. RESULTS: All sympathectomies were completed thoracoscopically. There were no major complications, and 90% of the patients were discharged within 24 hours of admission. The average operative time was 69 min. CONCLUSIONS: Findings from this study show that ETS is a safe and effective procedure that can be performed routinely on an outpatient basis. The use of miniendoscopic (2-mm) instrumentation is safe and effective in most patients and a helpful adjunct in providing these patients with minimally traumatic surgery. Long-term results should be evaluated on the basis of specific indications for sympathectomy.
机译：背景：长期以来，人们已经知道交感神经切除术是治疗多汗症和其他疾病的有效方法。直到最近才可用的外科手术通常需要开胸手术或较大的后切口，并且医生通常不愿意为大多数患有“良性”疾病的患者推荐手术。近来，胸腔镜技术已允许外科医生向这些患者提供具有最小手术创伤的永久解决方案。方法：在20例患者中，进行了3​​0例内镜下胸交感神经切除术（ETS）的多种适应症。 9例患者有双侧交感神经切除术。该过程在入院当天进行，患者在全身麻醉下使用双腔气管插管和手部温度监测。交感神经切除术完成后，对每个肺重新充气，并在切口闭合前吸出残留的气胸。没有在手术室中放置胸管。结果：所有交感神经切除术均在胸腔镜下完成。没有重大并发症，入院24小时内出院的患者占90％。平均手术时间为69分钟。结论：这项研究的结果表明，ETS是一种安全有效的方法，可以在门诊病人的基础上常规进行。在大多数患者中，使用迷你内窥镜（2-mm）器械是安全有效的，并且是为这些患者提供最少创伤的手术的有益辅助工具。应根据交感神经切除术的具体适应症评估长期结果。

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