Abstract
This chapter discusses the most common technical difficulties during the surgical procedure of sympathectomy, as well as the most frequent surgical complications, based on the literature and experience of the group with more than 2000 operated cases. The most frequent and most compromising technical difficulty is the presence of pleural adhesions. The most frequent immediate complication is the air fistula, and the most frequent late complication is compensatory sweating.
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Adar R, Kurchin A, Zweig A, Mozes M. Palmar hyperhidrosis and its surgical treatment: a report of 100 cases. Ann Surg. 1977;186:34–41.
Andrade Filho LO, Kuzniec S, Wolosker N, Yazbec G, Kauffman P, de Campos JRM. Technical difficulties and complications of symphatectomy in the treatment of hyperhidrosis: an analysis of 1731 cases. Ann Vasc Surg. 2013;27(4):447–53.
Andrews BT, Rennie JA. Predicting changes in the distribution of sweating following thoracoscopic sympathectomy. Br J Surg. 1997;84:1702–4.
Asking B, Svartholm E. Degeneration activity; a transient effect following sympathectomy for hyperhidrosis. Eur J Surg Suppl. 1994;572:41–2.
Atherton WG, Morgan WE. False aneurysm of an intercostal artery after thoracoscopic sympathectomy. Ann R Coll Surg Engl. 1997;79:229–30.
Atkins HJB. Sympathectomy by the axillary approach. Lancet. 1954;1:538–9.
Cameron AEP. Complications of endoscopic sympathectomy. Eur J Surg Suppl. 1998;580:33–5.
de Campos JRM, Kauffman P, Werebe EC, Andrade Filho LO, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg. 2003;76:886–91.
de Campos JRM, et al. The body mass index and level of resection. Predictive factors for compensatory sweating after sympathectomy. Clin Auton Res. 2005;15:116–20.
Chiou TS-M, Chen S-C. Intermediate-term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidrosis. Br J Surg. 1999;86:45–7.
Drott C, Claes G, Gothberg G, Paszowski P. Cardiac effects of endoscopic electrocautery of the upper thoracic sympathetic chain. Eur J Surg Suppl. 1994;572:65–70.
Duarte JBV, Kux P. Efficacy of endoscopic thoracic sympathectomy along with severing the Kuntz nerve in the treatment of chronic non-infectious rhinitis. Ann Chir Gynaecol. 2001;90:189–92.
Dumont P. Side effects and complications of surgery for hyperhidrosis. Thorac Surg Clin. 2008;18:193–207.
Dumont D, Denoyer A, Robin P. Long-term results of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg. 2004;78:1801–7.
Franz Marhold F, Izay B, Zacherl J, Tschabitscher M, Neumayer C. Thoracoscopic and anatomic landmarks of Kuntz’s nerve: implications for sympathetic surgery. Ann Thorac Surg. 2008;86:1653–8.
Gossot D, Grunenwald D, et al. Early complications of thoracic endoscopic sympathectomy: a prospective study of 940 procedures. Ann Thorac Surg. 2001;71:1116–9.
Gossot D, Galetta D, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg. 2003;75(4):1075–9.
Gossot D, Grunenwald D, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Eur J Cardiothorac Surg. 2005;27:741–4.
Herbst F, Fugger R, Fritsch A, et al. Endoscopic thoracic sympatectomy for primary hyperhidrosis of the upper limbs. A critical analysis and long-term results of 480 operations. Ann Surg. 2002;89:158–62.
Hughes J. Endothoracic sympathectomy. Proc R Soc Med. 1942;35:585–6.
Kauffman P, Wolosker N, de Campos JRM, Yazbec G, Jatene FB. Azygos lobe: a difficulty in video-assisted thoracic sympathectomy. Ann Thorac Surg. 2010;89(6):57–9.
Kopleman D, Bahous H, Assalia A, Hashmonai M. Upper dorsal sympathectomy for palmar hyperhidrosis. Use of the harmonic scalpel versus diathermy. Ann Chir Gynaecol. 2001;90:203–5.
Lai YT, Yang LH, et al. Complications in patients with palmar hyperhidrosis treated with transthoracic endoscopic sympathectomy. Neurosurgery. 1997;41:110–3.
Lai CL, Chen WC, Liu YB, Lee YT. Bradycardia and permanent pacing after bilateral thoracoscopic T2sympathectomy for primary hyperhidrosis. Pacing Clin Electrophysiol. 2001;24:524–5.
Lange JF. Inferior brachial plexus injury during thorascopic sympathectomy. Surg Endosc. 1995;9:830.
Lin CC. http:// www.sweathand.com.
Lin TS, Fang HY. Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis—with emphasis on perioperative management (1,360 case analyses). Surg Neurol. 1999 Nov;52(5):453–7.
Lin CC, Telaranta T. Lin-Telaranta classification: the importance of different produce of for different indications in sympathectomy surgery. Ann Chir Gynaecol. 2001;90(3):161–6.
Lin C-C, Mo L-R, Hwang M-H. Intraoperative cardiac arrest: a rare complication of T2,3-sympathicotomy for treatment of hyperhidrosis palmaris. Two case reports. Eur J Surg Suppl. 1994;572:43–5.
Lin CC, Lee LS, et al. The haemodynamic effect of thoracoscopic cardiac sympathectomy. Eur J Surg Suppl. 1998a;580:37–8.
Lin CC, et al. Thoracoscopic T2-sympathetic block by clipping – a better and reversible operation for treatment of hyperhidrosis palmaris: experience with 326 cases. Eur J Surg Suppl. 1998b;580:13–6.
Ojimba TA, Cameron AE. Drawbacks of endoscopic thoracic sympathectomy. Br J Surg. 2004;91(3):264–9.
Ramsaroop L, Partab P, Singh B, Satyapal KS. Thoracic origin of a sympathetic supply to the upper limb: the ‘nerve of Kuntz’ revisited. J Anat. 2001;199(Pt 6):675–82.
Ramsaroop L, Partab P, Singh B, et al. Anatomical basis for a successful upper limb sympathectomy in the thoracoscopic era. Clin Anat. 2004;17:294–9.
Reisfeld R. http://www.sweaty-palms.com/reversal_ets.html.
Riet M, et al. Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomy for hyperhidrosis. Surg Endosc. 2001;15:1159–62.
Ross JP. Sympathectomy as an experiment in human physiology. Br J Surg. 1933;21:5–19.
Shachor D, Jedeikin R, Olsfanger D, Bendahan J, Sivak G, Freund U. Endoscopic transthoracic sympathectomy in thetreatment of primary hyperhidrosis. A review of 290 sympathectomies. Arch Surg. 1994;129:241–4.
Telaranta T. Secondary sympathetic chain reconstruction after endoscopic thoracic sympathectomy. Eur J Surg. 1998;164(Suppl 580):17–8.
Telaranta T. Reversal surgery for reducing the side-effects of ETS. A case report. Ann Chir Gynaecol. 2001;90:175–6.
Telaranta T. http://www.privatix.fi.
Zacherl J, Herbst F, et al. Video assistance reduces complication rate of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg. 1999;68:1177–81.
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Andrade Filho, L.d.O., Engel, F.C. (2018). Surgical Difficulties and Complications of Video-Assisted Thoracoscopic for Thoracic Sympathectomy. In: Loureiro, M., Campos, J., Wolosker, N., Kauffman, P. (eds) Hyperhidrosis. Springer, Cham. https://doi.org/10.1007/978-3-319-89527-7_24
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