title: [Transaxillary concealing single incision endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis: a novel surgical approach].
abstract: OBJECTIVE
  To evaluate the cosmetic effect and safety of transaxillary concealing single incision endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis (PH).
  
  
  METHODS
  Retrospective study was conducted for 326 PH cases undergoing transaxillary concealing single incision endoscopic thoracic bilateral sympathectomy during January 2009 and March 2011.
  
  
  RESULTS
  All operations were successfully performed without severe complication and mortality. No conversion into open technique was necessary. The mean unilateral operative duration was 5.8 (5-8) min. It was calculated from the time of skin incision to the application of dressing over wound. The mean follow-up period was 25 (8-38) months. All patients achieved excellent cosmetic effects with undetectable incision.
  
  
  CONCLUSIONS
  Transaxillary concealing single incision endoscopic thoracic sympathectomy is a safe and effective procedure for treating primary PH. Incision is undetectable with excellent cosmetic effect. It is worthy of wider popularization.
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Min
authors.initials: M
authors.lastname: Lin
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China. Email: tuyuanrong@hotmail.com.
authors.forename: Yuan-rong
authors.initials: YR
authors.lastname: Tu
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Fan-cai
authors.initials: FC
authors.lastname: Lai
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Jian-feng
authors.initials: JF
authors.lastname: Chen
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Rong-gang
authors.initials: RG
authors.lastname: Luo
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
authors.forename: Jian-bo
authors.initials: JB
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D000328:Adult; D001365:Axilla / Q000601:surgery*; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D055815:Young Adult