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Related Experiment Videos

Fast track endoscopic thoracic sympathicotomy.

João Bosco Vieira Duarte1, Peter Kux, Carlos H V Castro

  • 1Dept. of Surgery, Mater Dei Hospital, Fundação Cardiovascular São Francisco de Assis/ServCor, Clínica de Hiperidrose, Belo Horizonte, Brazil. duartejb@globo.com

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
|December 16, 2003
PubMed
Summary
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Endoscopic thoracic sympathicotomy (ETS) for hyperhidrosis can be safely performed on an outpatient basis. This study confirms reduced hospital stay and costs for patients undergoing this minimally invasive procedure.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Anesthesiology

Background:

  • Endoscopic thoracic sympathicotomy (ETS) is a treatment for hyperhidrosis.
  • Hospital stay length is a significant factor in treatment cost and patient discomfort.
  • Outpatient procedures can reduce healthcare costs and improve patient experience.

Purpose of the Study:

  • To confirm the feasibility and safety of performing ETS on an outpatient basis.
  • To evaluate the outcomes of same-day discharge after ETS.
  • To assess the impact of outpatient ETS on patient recovery and hospital resource utilization.

Main Methods:

  • Retrospective analysis of 52 consecutive patients (ASA physical status 1 and 2) undergoing ETS.
  • Procedure performed under general anesthesia with single lumen endotracheal tube and CO(2) lung collapse.

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  • Sympathetic chain and communicating rami severed based on hyperhidrosis location; patients monitored throughout.

    • Main Results:

    • Anesthesia duration: 67.2 ± 20.8 minutes; surgical time: 46.3 ± 20.9 minutes.
    • Post-anesthetic care unit stay: 18.0 ± 11.0 minutes; total hospital discharge time: 150.3 ± 43.1 minutes.
    • Only 10% of patients showed insignificant residual carbothorax on post-procedure X-rays; no major complications reported.

    Conclusions:

    • Endoscopic thoracic sympathicotomy (ETS) is a safe and effective outpatient procedure for hyperhidrosis treatment.
    • Outpatient ETS significantly reduces hospital stay duration and associated costs.
    • This approach offers a viable and patient-friendly alternative for hyperhidrosis management.