title: [Trans-areola single port endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis: a new surgical approach].
abstract: OBJECTIVE
  To evaluate the cosmetic effects and safety profiles of trans-areola single port endoscopic thoracic sympathectomy.
  
  
  METHODS
  A retrospective study was conducted for 45 males and 7 females with palmar hyperhidrosis undergoing trans-areola single port endoscopic thoracic bilateral sympathectomy during April and June 2011.
  
  
  RESULTS
  All operations were successfully performed without severe morbidity and mortality. No conversion to open technique was necessary. The mean unilateral operative duration was 6 minutes (range: 5 - 8). The time was calculated from the time of skin incision to that of dressing application over wound. The mean hospitalization duration was 2.2 days (range: 2 - 3). The mean follow-up period was 2.8 months (range: 1 - 7). All patients achieved excellent cosmetic effects. No incision scar was found.
  
  
  CONCLUSIONS
  Trans-areola single port endoscopic thoracic sympathectomy is a safe and effective therapeutic procedure for primary palmar hyperhidrosis. The incision is undetectable with excellent cosmetic effects. The trans-areola route is a new ideal and promising approach for endoscopic thoracic sympathectomy.
authors.affiliation: Department of Thoracic Surgery, Fujian Medical University, Fuzhou, China. tuyuanrong@hotmail.com
authors.forename: Yuan-rong
authors.initials: YR
authors.lastname: Tu
authors.forename: Fan-cai
authors.initials: FC
authors.lastname: Lai
authors.forename: Xu
authors.initials: X
authors.lastname: Li
authors.forename: Min
authors.initials: M
authors.lastname: Lin
authors.forename: Hong-bing
authors.initials: HB
authors.lastname: Duan
authors.forename: Cheng-guo
authors.initials: CG
authors.lastname: Fu
authors.forename: Hua-hui
authors.initials: HH
authors.lastname: Zhan
authors.forename: Yi-wen
authors.initials: YW
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D016896:Treatment Outcome; D055815:Young Adult