[Thoracoscopic sympathectomy: a literature review].
BACKGROUND
Since its first description by Kux in 1954, the thoracic endoscopic (thoracoscopic) sympathectomy has rendered the open techniques obsolete in the treatment of the hyperhidrosis and other sympathetic-related diseases. AIM. The goal of this article is to present a critical review of the current indications, results and complications of the endoscopic thoracic sympathectomy.


METHODS
An extensive search and review of published papers on the thoracoscopic sympathectomy was undertaken.


RESULTS
The thoracoscopic sympathectomy has evolved as a therapeutic choice in patients with focal hyperhidrosis, pain syndromes and peripheral vascular disorders, particularly. The results, recurrences and complications are similar to the previously established open procedures; nevertheless, the morbidity, the hospital stay and the time to return to activities of daily living are substantially reduced. The highest success and satisfaction rates (over 95%) were observed among patients treated for focal hyperhidrosis.


CONCLUSIONS
The success and complication rates of thoracoscopic sympathectomy are comparable to those of open techniques, with an easier postoperative period and an earlier return to labor and daily living.
Bejarano
B
B
Departamento de Neurología y Neurocirugía, Clínica Universitaria de Navarra, Pamplona.
Manrique
M
M
D002318:Cardiovascular Diseases / Q000601:surgery; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D016239:MEDLINE; D011183:Postoperative Complications; D013562:Sympathectomy / Q000009:adverse effects / Q000379:methods*; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome