Video-thoracoscopic sympathectomy by use of a transaxillary single-port approach

Abstract

Background: In this prospective study, we evaluated the outcome and the value of sympathectomy by the use of a transaxillary single-port thoracic approach in a consecutive series of patients with palmar and/or axillary hyperhidrosis. Methods: Between June 2007 and June 2009, a total of 28 patients (14 males, 14 females; mean age 23.4 years; range 13 to 36 years) admitted to our clinic with palmar and/or axillary hyperhidrosis underwent uniport video-assisted thoracoscopic sympathetic chain electrocauterization of the T2 a nd T4 ganglia at our clinic. T here were b oth palmar and axillary hyperhidrozis in 14 cases (50%) and only palmar hyperhidrosis in 14 cases (50%). Results: Surgical complications were minimal and only one patient developed effusion. There were no deaths. Improvement in axillary and palmar hyperhidrosis was observed in all patients. Conclusion: Single-port thoracoscopic electrocauterization of the sympathetic nerves from T2 t o T 4 provides excellent cosmetic and functional outcomes, with best results in patients with hyperhidrosis.