+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Current appraisal of endoscopic thoracic sympathectomy: results of the national questionnaire surgery

, : Current appraisal of endoscopic thoracic sympathectomy: results of the national questionnaire surgery. Kyobu Geka. Japanese Journal of Thoracic Surgery 52(3): 204-209

A questionnaire survey was performed in order to investigate the current status of endoscopic thoracic sympathectomy in Japan. Four hundred and twenty-nine (429) university, national or public hospitals with a minimum of 400 beds were included. A total of 248 of these hospitals responded. Among them 63 (25%) performed this procedure. The total of the cases was 1116. The number of access port and the technique for defunctioning the sympathetic chain were broadly divided into three methods. These methods were equally carried out among the departments. The clinical results were judged as satisfactory in the great majority of patients and the frequency of complications was low. On the other hand, the overall incidence of compensatory sweating remained relatively high and accumulated as the number of cases increased. But the reported frequency differed strikingly from hospital probably for lack of an objective way of quantifying following sympathectomy. Although overall complications were infrequent, the need for conventional thoracotomy to stop bleeding occurred in some cases. Therefore even this simple endoscopic operation demands the utmost surgical care, skill and experience. A few recurrences of preoperative symptoms were seen in the follow-up suggesting that all patients must be continually monitored after the operation.


PMID: 10097547

Other references

Anita Dhakad; Rajput, R.S.; Mishra, P.K.; Sarawgi, S.K.; Joshi, B.S., 2005: Effect of planting geometry and nitrogen management on growth and dry matter production of wheat+chickpea intercropping system. A field experiment was conducted in Raipur, Chhattisgarh, India, during 2002-03 to determine the effects of planting geometry and nitrogen management on the growth and dry matter production of wheat (cv. Sujata) + chickpea (cv. JG-74) intercroppin...

Colin, Y.; Bailly, P.; Cartron, J.P., 1994: Molecular genetic basis of Rh and LW blood groups. Vox Sanguinis 67 Suppl 3: 67-72

D.V.Gneaud.V.; Ward.D.N., 1956: Studies on the purification of lysine vasopressin from hog pituitary glands. Partially purified preparations of lysine vasopressin obtained from the posterior lobe of hog pituitary glands were purified by electrophoresis on cellulose with pyridine acetate as a volatile buffer, followed by countercurrent distribution in eit...

Sciarra, T.; Della Bella, G.; Rossetti, S.L.; Foti, C.; Giustini, A., 2011: Support and accreditation for the research in rehabilitation: a new European model. European Journal of Physical and Rehabilitation Medicine 47(1): 185-186

Xu, A-E.; Zhang, D-Min.; Wei, X-Dong.; Huang, B.; Lu, L-Jun., 2009: Efficacy and safety of tarcrolimus cream 0.1% in the treatment of vitiligo. Vitiligo is an acquired, pigmentary skin disorder which is disfiguring and difficult to treat. Phototherapy and application of topical corticosteroids are most commonly prescribed. However, these therapies are often not effective and use of cortic...

Oetgen, W.J.; Landes, R.D., 1978: Aeromedical evacuation of high risk infants: experience at a military medical center. Military Medicine 143(10): 712-713

Kim, J.; Schulman-Marcus, J.; Watkins, A.C.; Feldman, D.N.; Swaminathan, R.; Lee, J.B.; Muthukumar, T.; Serur, D.; Kim, L.; Hartono, C., 2017: In-Hospital Cardiovascular Complications After Pancreas Transplantation in the United States from 2003 to 2012. Large database studies detailing the risk of perioperative cardiovascular complications after pancreas transplant has been limited, perhaps because these outcomes are not captured by transplant registries. Greater data on the incidence and risks o...

Cartford, M.Claire.; Gould, T.; Bickford, P.C., 2004: A central role for norepinephrine in the modulation of cerebellar learning tasks. Norepinephrine (NE) is a central nervous system neuromodulator that enhances the actions of other neurotransmitters such as gamma-aminobutyric acid and glutamate. Based on the Marr-Albus theories, Gilbert suggested that NE influences consolidation...

Saha, V.; Shanson, E.; Shankar, A.; Samuel, D.; Millar, M., 2010: Hospital ventilation, heat and humidity: risk of fungal and other infections. Journal of Hospital Infection 75(1): 74-75

Nicodemo, P., 1994: Extraperitoneal endoscopic access to the pelvic regions via a suprapubic route. Transperitoneal endoscopic access for operations on the extraperitoneal pelvic regions exposes the patient to greater complications compared with the traditional surgical technique and increases the risk of operative morbidity. Access can be gaine...