Research Progress of Minimally Invasive Treatment for Primary Palmar Hyperhidrosis Through Thoracoscope_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YANGJun-feng ,  SHIHong-can , WANGYao

Department of General Thoracic Surgery, Medical College of Yangzhou University, Yangzhou 225001 Jiangsu, P.R.China;

Corresponding author：

SHIHong-can, Email: shihongcan@hotmail.com

Keywords：

Primary palmar hyperhidrosis; Treatment; minimally invasive surgery

DOI：

10.7507/1007-4848.20160146

Video：

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Primary palmar hyperhidrosis is a kind of benign disease characterized by abnormally increasing sweat. Various treatments for it exist in clinic currently and the one of them is endoscopic thoracic sympathectomy. But due to the different choice of surgery path, surgery method and the way or the level to block the sympathetic chain, the surgical curative effect and the incidence of postoperative complications vary hugely. This review provides an update report on the surgery method and the way or the level to block the sympathetic chain to treat palmar hyperhidrosis by endoscopic thoracic sympathectomy.

Citation： YANGJun-feng, SHIHong-can, WANGYao. Research Progress of Minimally Invasive Treatment for Primary Palmar Hyperhidrosis Through Thoracoscope. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(6): 617-621. doi: 10.7507/1007-4848.20160146 Copy

1.	Fujimoto T, Kawahara K, Yokozeki H. Epidemiological study and considerations of primary focal hyperhidrosis in Japan:from questionnaire analysis. J Dermatol, 2013, 40(11):886-890.
2.	Lai FC, Tu YR, Li YP, et al. Nation wide epidemiological survey of primary palmar hyperhidrosis in the People's Republic of China. Clin Auton Res, 2015, 25(2):105-108.
3.	Yanagishita T, Tamada Y, Ohshima Y, et al. Histological localization of aluminum in topical aluminum chloride treatment for palmar hyperhidrosis. J Dermatol Sci, 2012, 67(1):69-71.
4.	Wolosker N, Schvartsman C, Krutman M, et al. Efficacy and quality of life outcomes of oxybutynin for treating palmar hyperhidrosis in children younger than 14 years old. Pediatr Dermatol, 2014, 31(1):48-53.
5.	Rajagopal R, Mallya N B. Comparative evaluation of botulinum toxin versus iontophoresis with topical aluminium chloride hexahydrate in treatment of palmar hyperhidrosis. Med J Armed Forces India, 2014, 70(3):247-252.
6.	Kang A, Burns E, Glaser DA. Botulinum toxin A for palmar hyperhidrosis:associated pain, duration, and reasons for discontinuation of therapy. Dermatol Surg, 2015, 41(2):297-298.
7.	Liu Y, Li H, Zheng X, et al. Sympathicotomy for palmar hyperhidrosis:the association between intraoperative palm temperature change and the curative effect. Ann Thorac Cardiovasc Surg, 2015, 21(4):359-363.
8.	Hughes J. Endothoracic sympathectomy. Proc R Soc Med, 1942, 35(9):585-586.
9.	Baroncello JB, Baroncello LRZ, Schneider EGF, et al. Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis. Rev Col Bras Cir, 2014, 41(5):325-330.
10.	Karamustafaoglu YA, Kuzucuoglu M, Yanik F, et al. 3-Year Follow-up after uniportal thoracoscopic sympathicotomy for hyperhidrosis:undesirable side effects. J Laparoendosc Adv Surg Tech A, 2014, 24(11):782-785.
11.	Delaplace M, Dumont P, Lorette G, et al. Factors associated with long-term outcome of endoscopic thoracic sympathectomy for palmar hyperhidrosis:a questionnaire survey in a cohort of French patients. Br J Dermatol, 2015, 172(3):805-807.
12.	Unal O, Citgez B, Battal M, et al. Single incision thoracoscopic sympathectomy for hyperhidrosis. BMJ Case Rep, 2012, doi:10. 1136/bcr. 01. 2012. 5692.
13.	Atkinson JL, Fode-Thomas NC, Fealey RD, et al. Endoscopic transthoracic limited sympathotomy for palmar-plantar hyperhidrosis:outcomes and complications during a 10-year period. Mayo Clin Proc, 2011, 86(8):721-729.
14.	Yang Y, Zeng L, An Z, et al. Minimally invasive thoracic sympathectomy for palmar hyperhidrosis via a single unilateral incision approach by the pleura videoscope. J Laparoendosc Adv Surg Tech A, 2014, 24(5):328-332.
15.	Chen JT, Liao CP, Chiang HC, et al. Subxiphoid single-incision thoracoscopic bilateral ablative sympathectomy for hyperhidrosis. Interact Cardiovasc Thorac Surg, 2015, 21(1):119-120.
16.	Zhu LH, Chen L, Yang S, et al. Embryonic NOTES thoracic sympathectomy for palmar hyperhidrosis:results of a novel technique and comparison with the conventional VATS procedure. Surg Endosc, 2013, 27(11):4124-4129.
17.	Youssef T, Soliman M. Unilateral sequential endoscopic thoracic sympathectomy for palmar hyperhidrosis:A proposed technique to overcome compensatory hyperhidrosis and improve plantar hyperhidrosis. J Laparoendosc Adv Surg Tech A, 2015, 25(5):370-374.
18.	Macía I, Moya J, Ramos R, et al. Primary hyperhidrosis. Current status of surgical treatment. Cir Esp, 2010, 88(3):146-151.
19.	Findikcioglu A, Kilic D, Hatipoglu A. Is clipping superior to cauterization in the treatment of palmar hyperhidrosis?. Thorac Cardiovasc Surg, 2014, 62(5):445-449.
20.	Panhofer P, Ringhofer C, Gleiss A, et al. Quality of life after sympathetic surgery at the T4 ganglion for primary hyperhidrosis:Clip application versus diathermic cut. Int J Surg, 2014, 12(12):1478-1483.
21.	Aydemir B, Imamoglu O, Okay T, et al. Sympathectomy versus sympathicotomy in palmar hyperhidrosis comparing T3 ablation. Thorac Cardiovasc Surg, 2015, 63(8):715-719.
22.	Panhofer P, Gleiss A, Eilenberg WH, et al. Long-term outcomes after endothoracic sympathetic block at the T4 ganglion for upper limb hyperhidrosis. Br J Surg, 2013, 100(11):1471-1477.
23.	Loscertales J, Congregado M, Jimenez-Merchan R, et al. Sympathetic chain clipping for hyperhidrosis is not a reversible procedure. Surg Endosc, 2012, 26(5):1258-1263.
24.	Wang FG, Chen YB, Yang WT, et al. Comparison of compensatory sweating and quality of life following thoracic sympathetic block for palmar hyperhidrosis:electrocautery hook versus titanium clip. Chin Med J (Engl), 2011, 124(21):3495-3498.
25.	Hynes CF, Yamaguchi S, Bond CD, et al. Reversal of sympathetic interruption by removal of clips. Ann Thorac Surg, 2015, 99(3):1020-1023.
26.	Marhold F, Izay B, Zacherl J, et al. Thoracoscopic and anatomic landmarks of Kuntz's nerve:implications for sympathetic surgery. Ann Thorac Surg, 2008, 86(5):1653-1658.
27.	Haxton HA. The sympathetic nerve supply of the upper limb in relation to sympathectomy. Ann R Coll Surg Engl, 1954, 14(4):247-266.
28.	McCormack AC, Jarral OA, Shipolini AR, et al. Does the nerve of Kuntz exist?. Interact Cardiovasc Thorac Surg, 2011, 13(2):175-178.
29.	Walling HW, Swick BL. Treatment options for hyperhidrosis. Am J Clin Dermatol, 2011, 12(5):285-295.
30.	Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg, 2011, 91(5):1642-1648.
31.	Moraites E, Vaughn OA, Hill S. Endoscopic Thoracic Sympathectomy. Dermatol Clin, 2014, 32(4):541-548.
32.	Deng B, Tan QY, Jiang YG, et al. Optimization of sympathectomy to treat palmar hyperhidrosis:the systematic review and meta-analysis of studies published during the past decade. Surg Endosc, 2011, 25(6):1893-1901.
33.	Cai S, Huang S, An J, et al. Effect of lowering or restricting sympathectomy levels on compensatory sweating. Clin Auton Res, 2014, 24(3):143-149.
34.	李彩伟, 朱彦君, 李玉华, 等. 胸腔镜下R4交感神经链联合R3侧枝切断术治疗原发性手汗症. 安徽医科大学学报, 2014, 49(6):792-794,795.
35.	林敏, 涂远荣, 陈剑锋, 等. 手汗症患者胸交感神经旁路纤维超微结构的研究. 中华实验外科杂志, 2014, 31(10):2314-2315.
36.	de Andrade Filho LO, Kuzniec S, Wolosker N, et al. Technical difficulties and complications of sympathectomy in the treatment of hyperhidrosis:an analysis of 1731 cases. Ann Vasc Surg, 2013, 27(4):447-453.
37.	Singh B, Moodley J, Allopi L, et al. Horner syndrome after sympathectomy in the thoracoscopic era. Surg Laparosc Endosc Percutan Tech, 2006, 16(4):222-225.
38.	Zhang TY, Wang L, Xu JJ. The Effects of thoracic sympathotomy on heart rate variability in patients with palmar hyperhidrosis. Yonsei Med, 2012, 53(6):1081-1084.

1. Fujimoto T, Kawahara K, Yokozeki H. Epidemiological study and considerations of primary focal hyperhidrosis in Japan:from questionnaire analysis. J Dermatol, 2013, 40(11):886-890.
2. Lai FC, Tu YR, Li YP, et al. Nation wide epidemiological survey of primary palmar hyperhidrosis in the People's Republic of China. Clin Auton Res, 2015, 25(2):105-108.
3. Yanagishita T, Tamada Y, Ohshima Y, et al. Histological localization of aluminum in topical aluminum chloride treatment for palmar hyperhidrosis. J Dermatol Sci, 2012, 67(1):69-71.
4. Wolosker N, Schvartsman C, Krutman M, et al. Efficacy and quality of life outcomes of oxybutynin for treating palmar hyperhidrosis in children younger than 14 years old. Pediatr Dermatol, 2014, 31(1):48-53.
5. Rajagopal R, Mallya N B. Comparative evaluation of botulinum toxin versus iontophoresis with topical aluminium chloride hexahydrate in treatment of palmar hyperhidrosis. Med J Armed Forces India, 2014, 70(3):247-252.
6. Kang A, Burns E, Glaser DA. Botulinum toxin A for palmar hyperhidrosis:associated pain, duration, and reasons for discontinuation of therapy. Dermatol Surg, 2015, 41(2):297-298.
7. Liu Y, Li H, Zheng X, et al. Sympathicotomy for palmar hyperhidrosis:the association between intraoperative palm temperature change and the curative effect. Ann Thorac Cardiovasc Surg, 2015, 21(4):359-363.
8. Hughes J. Endothoracic sympathectomy. Proc R Soc Med, 1942, 35(9):585-586.
9. Baroncello JB, Baroncello LRZ, Schneider EGF, et al. Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis. Rev Col Bras Cir, 2014, 41(5):325-330.
10. Karamustafaoglu YA, Kuzucuoglu M, Yanik F, et al. 3-Year Follow-up after uniportal thoracoscopic sympathicotomy for hyperhidrosis:undesirable side effects. J Laparoendosc Adv Surg Tech A, 2014, 24(11):782-785.
11. Delaplace M, Dumont P, Lorette G, et al. Factors associated with long-term outcome of endoscopic thoracic sympathectomy for palmar hyperhidrosis:a questionnaire survey in a cohort of French patients. Br J Dermatol, 2015, 172(3):805-807.
12. Unal O, Citgez B, Battal M, et al. Single incision thoracoscopic sympathectomy for hyperhidrosis. BMJ Case Rep, 2012, doi:10. 1136/bcr. 01. 2012. 5692.
13. Atkinson JL, Fode-Thomas NC, Fealey RD, et al. Endoscopic transthoracic limited sympathotomy for palmar-plantar hyperhidrosis:outcomes and complications during a 10-year period. Mayo Clin Proc, 2011, 86(8):721-729.
14. Yang Y, Zeng L, An Z, et al. Minimally invasive thoracic sympathectomy for palmar hyperhidrosis via a single unilateral incision approach by the pleura videoscope. J Laparoendosc Adv Surg Tech A, 2014, 24(5):328-332.
15. Chen JT, Liao CP, Chiang HC, et al. Subxiphoid single-incision thoracoscopic bilateral ablative sympathectomy for hyperhidrosis. Interact Cardiovasc Thorac Surg, 2015, 21(1):119-120.
16. Zhu LH, Chen L, Yang S, et al. Embryonic NOTES thoracic sympathectomy for palmar hyperhidrosis:results of a novel technique and comparison with the conventional VATS procedure. Surg Endosc, 2013, 27(11):4124-4129.
17. Youssef T, Soliman M. Unilateral sequential endoscopic thoracic sympathectomy for palmar hyperhidrosis:A proposed technique to overcome compensatory hyperhidrosis and improve plantar hyperhidrosis. J Laparoendosc Adv Surg Tech A, 2015, 25(5):370-374.
18. Macía I, Moya J, Ramos R, et al. Primary hyperhidrosis. Current status of surgical treatment. Cir Esp, 2010, 88(3):146-151.
19. Findikcioglu A, Kilic D, Hatipoglu A. Is clipping superior to cauterization in the treatment of palmar hyperhidrosis?. Thorac Cardiovasc Surg, 2014, 62(5):445-449.
20. Panhofer P, Ringhofer C, Gleiss A, et al. Quality of life after sympathetic surgery at the T4 ganglion for primary hyperhidrosis:Clip application versus diathermic cut. Int J Surg, 2014, 12(12):1478-1483.
21. Aydemir B, Imamoglu O, Okay T, et al. Sympathectomy versus sympathicotomy in palmar hyperhidrosis comparing T3 ablation. Thorac Cardiovasc Surg, 2015, 63(8):715-719.
22. Panhofer P, Gleiss A, Eilenberg WH, et al. Long-term outcomes after endothoracic sympathetic block at the T4 ganglion for upper limb hyperhidrosis. Br J Surg, 2013, 100(11):1471-1477.
23. Loscertales J, Congregado M, Jimenez-Merchan R, et al. Sympathetic chain clipping for hyperhidrosis is not a reversible procedure. Surg Endosc, 2012, 26(5):1258-1263.
24. Wang FG, Chen YB, Yang WT, et al. Comparison of compensatory sweating and quality of life following thoracic sympathetic block for palmar hyperhidrosis:electrocautery hook versus titanium clip. Chin Med J (Engl), 2011, 124(21):3495-3498.
25. Hynes CF, Yamaguchi S, Bond CD, et al. Reversal of sympathetic interruption by removal of clips. Ann Thorac Surg, 2015, 99(3):1020-1023.
26. Marhold F, Izay B, Zacherl J, et al. Thoracoscopic and anatomic landmarks of Kuntz's nerve:implications for sympathetic surgery. Ann Thorac Surg, 2008, 86(5):1653-1658.
27. Haxton HA. The sympathetic nerve supply of the upper limb in relation to sympathectomy. Ann R Coll Surg Engl, 1954, 14(4):247-266.
28. McCormack AC, Jarral OA, Shipolini AR, et al. Does the nerve of Kuntz exist?. Interact Cardiovasc Thorac Surg, 2011, 13(2):175-178.
29. Walling HW, Swick BL. Treatment options for hyperhidrosis. Am J Clin Dermatol, 2011, 12(5):285-295.
30. Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg, 2011, 91(5):1642-1648.
31. Moraites E, Vaughn OA, Hill S. Endoscopic Thoracic Sympathectomy. Dermatol Clin, 2014, 32(4):541-548.
32. Deng B, Tan QY, Jiang YG, et al. Optimization of sympathectomy to treat palmar hyperhidrosis:the systematic review and meta-analysis of studies published during the past decade. Surg Endosc, 2011, 25(6):1893-1901.
33. Cai S, Huang S, An J, et al. Effect of lowering or restricting sympathectomy levels on compensatory sweating. Clin Auton Res, 2014, 24(3):143-149.
34. 李彩伟, 朱彦君, 李玉华, 等. 胸腔镜下R4交感神经链联合R3侧枝切断术治疗原发性手汗症. 安徽医科大学学报, 2014, 49(6):792-794,795.
35. 林敏, 涂远荣, 陈剑锋, 等. 手汗症患者胸交感神经旁路纤维超微结构的研究. 中华实验外科杂志, 2014, 31(10):2314-2315.
36. de Andrade Filho LO, Kuzniec S, Wolosker N, et al. Technical difficulties and complications of sympathectomy in the treatment of hyperhidrosis:an analysis of 1731 cases. Ann Vasc Surg, 2013, 27(4):447-453.
37. Singh B, Moodley J, Allopi L, et al. Horner syndrome after sympathectomy in the thoracoscopic era. Surg Laparosc Endosc Percutan Tech, 2006, 16(4):222-225.
38. Zhang TY, Wang L, Xu JJ. The Effects of thoracic sympathotomy on heart rate variability in patients with palmar hyperhidrosis. Yonsei Med, 2012, 53(6):1081-1084.

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Research Progress of Minimally Invasive Treatment for Primary Palmar Hyperhidrosis Through Thoracoscope

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