Drawbacks of endoscopic thoracic sympathectomy

@article{Ojimba2004DrawbacksOE,
  title={Drawbacks of endoscopic thoracic sympathectomy},
  author={T. A. Ojimba and Alan E. P. Cameron},
  journal={British Journal of Surgery},
  year={2004},
  volume={91}
}
BACKGROUND Endoscopic thoracic sympathectomy (ETS) has come into widespread use for palmar hyperhidrosis and other complaints of the upper limb and of the head and neck, but there are concerns about its safety. [] Key MethodMETHODS A Medline search was carried out using the terms 'thoracoscopic sympathectomy', 'endoscopic thoracic sympathectomy' and 'complications'. References from identified articles were handsearched for further relevant articles.
Endoscopic thoracic sympathectomy.
Predictors of outcome following endoscopic thoracic sympathectomy
TLDR
This retrospective cohort study aimed to evaluate the degree of symptom resolution, patient satisfaction and adverse reactions after ETS and to identify subgroups of patients more likely to achieve a satisfactory outcome.
Endoscopic Sympathetic Surgery
Endoscopic thoracic sympathectomy (ETS) is an effective treatment option for patients suffering from primary hyperhidrosis, facial blushing, and various vascular disorders.
Endoscopic thoracic sympathectomy: a review
TLDR
Endoscopic thoracic sympathectomy has been developed as an effective and safe method of dealing with hyperhydrosis and craniofacial blushing patients and is now an established part of the surgical repertoire.
Treatment of unilateral compensatory sweating after endoscopical thoracic sympathectomy for general hyperhidrosis with botulinum toxin A.
TLDR
A patient with severe generalized hyperhidrosis not responding to topical and systemic agents is reported, who was treated by endoscopical thoracic sympathectomy, and an excessive unilateral compensatoryhyperhidrosis occurred, which was successfully treated with botulinum toxin A injections.
Thoracoscopic sympathectomy; evaluation of technique and advantages
TLDR
Clear identification of the sympathetic chain prevent the incidence of Horner’s syndrome in thoracoscopic sympathectomy patients and the post operative morbidity is minimal.
Surgical Difficulties and Complications of Video-Assisted Thoracoscopic for Thoracic Sympathectomy
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
Upper dorsal endoscopic thoracic sympathectomy: a comparison of one- and two-port ablation techniques.
  • M. Murphy, J. Ghosh, M. Walker
  • Medicine
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • 2006
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References

SHOWING 1-10 OF 50 REFERENCES
Complications of endoscopic sympathectomy.
  • A. Cameron
  • Medicine
    The European journal of surgery. Supplement. : = Acta chirurgica. Supplement
  • 1998
Four cases are presented in which complications occurred during or after thoracic endoscopic sympathectomy (TES). In one patient inappropriate TES resulted in disabling hyperhidrosis. In one patient
Inferior brachial plexus injury during thoracoscopic sympathectomy
TLDR
It is believed that this complication occurred during the first operation of the kind in this department in 1991 and can be prevented now by supervision of thoracoscopic sympathectomy by experienced surgeons.
Intermediate‐term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidrosis
This report examines the intermediate‐term results of endoscopic transaxillary T2 sympathectomy for palmar hyperhidrosis.
Long‐term results of bilateral thoracoscopic splanchnicectomy in patients with chronic pancreatitis
TLDR
The aim of this prospective study was to evaluate the early and long‐term pain relief provided by bilateral thoracoscopic splanchnicectomy in patients with chronic pancreatitis.
Endoscopic Thoracic Sympathectomy for Primary Hyperhidrosis of the Upper Limbs A Critical Analysis and Long‐Term Results of 480 Operations
TLDR
The long-term outcome after endoscopic thoracic sympathectomy from below D1 to D4, using a single-site access technique for primary hyperhidrosis of the upper limbs was evaluated, with particular emphasis on patient satisfaction.
Extensor pollicis longus paralysis following thoracoscopic sympathectomy.
TLDR
An unusual case of isolated extensor pollicis longus paralysis after a thoracoscopic sympathectomy for palmar hyperhidrosis, in a fit young male, is reported.
Predicting changes in the distribution of sweating following thoracoscopic sympathectomy
Background Compensatory sweating is a common symptom following thoracic sympathectomy; however, the reported incidence of this complication varies greatly, and its severity has not been quantified.
Intraoperative cardiac arrest: a rare complication of T2,3-sympathicotomy for treatment of hyperhidrosis palmaris. Two case reports.
  • C. Lin, L. Mo, M. Hwang
  • Medicine
    The European journal of surgery. Supplement. : = Acta chirurgica. Supplement
  • 1994
TLDR
The purpose of this paper was to discuss the possible mechanism of cardiac arrest in thoracoscopic sympathicotomy, and to emphasise this rare but potentially fatal complication in the treatment of hyperhidrosis palmaris.
Intraoperative cardiac arrest: a rare complication of T2,3-sympathicotomy for treatment of hyperhidrosis palmaris. Two case reports.
TLDR
The purpose of this paper was to discuss the possible mechanism of cardiac arrest in thoracoscopic sympathicotomy, and to emphasise this rare but potentially fatal complication in the treatment of hyperhidrosis palmaris.
Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies.
TLDR
Endoscopic transthoracic sympathectomy is an effective form of treatment for palmar primary hyperhidrosis, is associated with a low morbidity, and can be performed as an ambulatory procedure.
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