title: Laparoendoscopic single-site retroperitoneal lumbar sympathectomy: initial report.
abstract: BACKGROUND
  Retroperitoneoscopic lumbar sympathectomy is a safe and effective treatment for plantar hyperhidrosis.
  
  
  OBJECTIVE
  To evaluate the safety and feasibility of laparoendoscopic single-site retroperitoneal lumbar sympathectomy in plantar hyperhidrosis.
  
  
  METHODS
  Bilateral laparoendoscopic single-site retroperitoneal lumbar sympathectomy was performed in a 27-year-old man who suffered from excessive sweating from the soles of the feet. A homemade single port was created with an Alexis wound retractor through a 2.5-cm incision at the tip of the 12th rib. With conventional 5-mm laparoscopy and instruments, retroperitoneal lumbar sympathectomy was performed.
  
  
  RESULTS
  The procedure was completed successfully without any complications and with minimal blood loss. The operative time was 110 and 80 minutes for the procedure on the left and right sides. The perioperative course and postoperative course were uneventful. The patient had anhidrosis of both feet after surgery with Hyperhidrosis Disease Severity Scale score of 1 at the 1-month follow-up.
  
  
  CONCLUSIONS
  Laparoendoscopic single-site retroperitoneal lumbar sympathectomy is a safe and feasible procedure according to our initial experience.
authors.affiliation: Division of Neurosurgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, 289 Jianguo Road, Xindian, Taipei, Taiwan.
authors.forename: Tin Chou
authors.initials: TC
authors.lastname: Li
authors.forename: Shiu-Dong
authors.initials: SD
authors.lastname: Chung
authors.forename: Po An
authors.initials: PA
authors.lastname: Tai
authors.forename: Hsien Ta
authors.initials: HT
authors.lastname: Hsu
authors.forename: Chung Shi
authors.initials: CS
authors.lastname: Wen
authors.forename: Kuo Feng
authors.initials: KF
authors.lastname: Huang
authors.forename: Yao Chou
authors.initials: YC
authors.lastname: Tsai
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D005528:Foot; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D012187:Retroperitoneal Space; D013546:Sweating / Q000502:physiology; D013562:Sympathectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome