Yekta Altemur KARAMUSTAFAOĞLU, Mustafa KUZUCUOĞLU, Yener YÖRÜK, Taner TARLADAÇALIŞIR, Rüstem MAMMEDOV

Transaksiller tek port yaklaşımıyla gerçekleştirilen videotorakoskopik sempatektomi

Amaç: Bu prospektif çalışmada avuç içi veya koltuk altı terlemesi olan bir ardışık hasta dizisinde transaksiller tek port yaklaşımıyla gerçekleştirilen sempatektominin sonuçları ve önemi değerlendirildi. Çalışma planı: Haziran 2007 - Haziran 2009 tarihleri arasında, kliniğimize avuç içi veya koltuk altı aşırı terlemesi ile başvuran toplam 28 hastaya (14 erkek, 14 kadın; ort. yaş 23.4 yıl; dağılım 13-36 yıl) kliniğimizde tek porttan video yardımlı torakoskopik T2-T4 gangliyonu sempatik zincir elektrokoterizasyonu uygulandı. Bu olguların 14'ünde (%50) avuç içi ve koltuk altı, 14'ünde (%50) ise sadece avuç içi terlemesi vardı.Bulgular: Cerrahi komplikasyon minimal idi ve sadece bir hastada plevral efüzyon gelişti. Ölen hasta olmadı. Tüm hastalarda avuç içi ve koltuk altı terlemesinde iyileşme görüldü.Sonuç: T2-T4 sempatik sinirlerin tek porttan videotorakoskopik elektroelektrokoterizasyonu hiperhidrozisli hastalarda en iyi sonuçlarla birlikte mükemmel kozmetik ve fonksiyonel sonuçlar vermektedir.

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

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.

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