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Thoracoscopy for autonomic disorders

G Claes1, C Drott, G Göthberg

  • 1Department of Surgery, Borås Hospital, Sweden.

The Annals of Thoracic Surgery
|September 1, 1993
PubMed
Summary
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Minimal thoracoscopic sympathectomy offers a safe and efficient approach for denerving the arm, hand, and heart. This procedure is well-suited for hyperhidrosis and can improve other conditions, though recurrence is noted in Raynaud

Area of Science:

  • Thoracic surgery
  • Minimally invasive procedures
  • Autonomic nervous system

Background:

  • Sympathetic denervation traditionally involved more invasive methods.
  • Minimal thoracoscopic approaches have advanced surgical options.
  • The sympathetic nervous system plays a role in various physiological processes.

Purpose of the Study:

  • To evaluate the efficacy and safety of minimal thoracoscopic sympathectomy.
  • To assess the suitability of this procedure for specific autonomic disorders.
  • To analyze outcomes for conditions like hyperhidrosis, causalgia, and angina pectoris.

Main Methods:

  • Over 500 patients underwent minimal thoracoscopic sympathectomy over a 5-year period.
  • Procedures focused on sympathetic denervation of the arm, hand, and heart.

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  • Data collected on operation time, hospital stay, and recovery period.

    • Main Results:

    • The procedure demonstrated a high safety profile with no major complications and few minor ones.
    • Average operation time was 25 minutes, with a 1-day hospital stay and less than 1 week of sick leave.
    • Significant improvement or resolution of symptoms was observed for hyperhidrosis, causalgia, vascular insufficiency, and angina pectoris.

    Conclusions:

    • Minimal thoracoscopic sympathectomy is a safe and efficient surgical option.
    • The procedure is particularly suitable for treating hyperhidrosis due to its rapid recovery.
    • While effective for several conditions, a high recurrence rate was observed in Raynaud's disease.