Video-assisted thoracic sympathectomy: literature review.

ABSTRACT. Thoracic sympathectomy has been effective in relieving hyperhidrosis in several patients, with quality of life improvement. The knowledge of the clinical picture of each patient, as well as the possible postoperative complications, are fundamental to obtain good results. Thus, we performed a review of articles from the PubMed database published between 2005 and 2019 that presented, as the main topic, thoracoscopy sympathectomy for the treatment of hyperhidrosis, with the objective of evaluating the current state of art referring to postoperative quality of life, surgical time and its complications. From this analysis, we verified the importance of the level of sympathetic ganglion chain section in relation to results. The complication, although occurring, did not reduced the postoperative level of satisfaction or patients' quality of life.

摘要：胸交感神经切除术（Thoracic sympathectomy）已被证实可有效缓解多汗症（hyperhidrosis）患者的症状，并改善其生活质量。充分掌握每位患者的临床特征及可能出现的术后并发症，是获得良好手术效果的核心前提。为此，我们对2005年至2019年间发表于PubMed数据库、以胸腔镜交感神经切除术（thoracoscopy sympathectomy）治疗多汗症为核心主题的相关文献进行了系统综述，旨在评估当前该领域在术后生活质量、手术时长及并发症相关的研究现状。通过本次分析，我们证实了交感神经链切断节段水平与手术效果的密切相关性。尽管术后并发症时有发生，但此类并发症并未降低患者的术后满意度水平或生活质量。