title: Single-Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis.
abstract: OBJECTIVE
  Thoracic sympathectomy is considered the most effective method to treat palmar hyperhidrosis. We presented a novel procedure for thoracic sympathectomy treating palmar hyperhidrosis which could be performed under monitored anesthesia care. The aim of this study was to evaluate the continuing efficacy and safety of this innovative surgery.
  
  
  METHODS
  From May 2011 to May 2014, we performed the single-port endoscopic thoracic sympathectomy (ETS) with a flexible thoracoscopy in 32 patients under monitored anesthesia care. All patients were followed up until today.
  
  
  RESULTS
  Under monitored anesthesia, all patients were awake during the procedure. A proper sedation and local anesthesia make it possible for patients to communicate with surgeons. The symptoms disappeared immediately when the sympathectomy was done. No surgical complications occurred during the procedure. All patients were discharged from the hospital on the first morning of postoperative day. Compared with the traditional approach, the advantages of less operative costs, fewer hospital days, and better recovery were suggested.
  
  
  CONCLUSIONS
  Single-port ETS with flexible thoracoscopy under monitored anesthesia is a promising procedure for palmar hyperhidrosis.
authors.affiliation: Department of Thoracic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Ning
authors.forename: Yanan
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiandong
authors.initials: X
authors.lastname: Tao
authors.forename: Hua
authors.initials: H
authors.lastname: Tang
authors.forename: Jingjing
authors.initials: J
authors.lastname: Jiang
authors.forename: Yonghua
authors.initials: Y
authors.lastname: Li
authors.forename: Guangyuan
authors.initials: G
authors.lastname: Sun
authors.forename: Lei
authors.initials: L
authors.lastname: Xue
authors.forename: Xuewei
authors.initials: X
authors.lastname: Zhao
mesh_terms: D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D016292:Procedural Sedation; D005260:Female; D006229:Hand Dermatoses / Q000601:surgery*; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D016343:Monitoring, Intraoperative; D011446:Prospective Studies; D013562:Sympathectomy / Q000009:adverse effects / Q000379:methods*; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult