Guidelines on Surgery of the Thoracic Sympathetic Nervous System

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• 作者：Ramó ; n Moreno Balsalobre^a ; ^{rmoreno@separ.es"" rel=""nofollow} ; Nicolá ; s Moreno Mata^b ; Ricard Ramos Izquierdo^c ; Francisco Javier Aragó ; n Valverde^d ; Laureano Molins Ló ; pez-Rodo^e ; Juan José ; Rivas De André ; s^f ; José ; Luis Garcí ; a Ferná ; ndez^g ; Miguel &#xc1 ; ngel Cañ ; izares Carretero^h ; Miguel Congregado Loscertalesⁱ ; Miguel Carbajo Carbajo^j
• 关键词：Thoracic sympathectomy ; Hyperhidrosis ; Facial flushing ; Video-assisted thoracoscopy ; Side effects ; Compensatory sweating ; Clipping ; Guidelines ; Thoracic surgery
• 刊名：Archivos de Bronconeumología (English Edition)
• 出版年：2011
• 出版时间：2011
• 年：2011
• 卷：47
• 期：2
• 页码：94-102
• 全文大小：354 K

文摘

Thoracic sympathetic nervous system (SNS) surgery has increased in importance in recent years, generating great expectations among the general population and the scientific community. This has been due to the excellent results obtained by video-assisted thoracic sympathectomy in the treatment of essential hyperhidrosis and other thoracic SNS disorders.

This minimally invasive surgical technique has been shown to be effective and to have low morbidity. It is accepted as one of the best therapeutic options for the treatment of palmar and bilateral axillary hyperhidrosis, and the number of patients interested in undergoing the procedure has increased considerably.

Although compensatory sweating, which is occasionally intense, often occurs after the surgery, this and other side effects of the technique are well tolerated by patients.

The current evidence on thoracic SNS and the treatment of essential hyperhidrosis is based on observational studies, making it difficult to compare series and draw conclusions. There has been much discussion on standardizing the technique, defining the most favorable levels for clipping, and choosing the type of denervation with the least amount of side effects. This has led to the need to draw up these guidelines which should clarify and standardize the criteria for managing patients with thoracic SNS disorders.