Passive pneumothorax with low flow apneic ventilation in thoracoscopic sympathectomy for palmar hyperhidrosis: Technical note

M. H. Li*, J. C. Hsu, C. N. Chang, K. C. Wei

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Thoracoscopic sympathectomy has been used as a minimally invasive technique for palmar hyperhidrosis. We have applied a simple and safe method for endoscopic transthoracic sympathectomy, that has not been described in the literature. We use single lumen endotracheal intubation, passive artificial pneumothorax and apneic ventilation with the patient in the anti- Trendelenberg position. The ipisilateral lung collapse is sufficient for the T2 and T3 ganglia ablation. The apnea time on each side lasts less than 4 minutes and the arterial oxygenation is acceptable. In unexpected difficult cases with severe lung adhesion, or if the operation is unable to finish in a few minutes, the operative procedure could be switched to active pneumothorax at any time which guarantee the safety of the patient.

Original languageEnglish
Pages (from-to)14-20
Number of pages7
JournalActa Neurologica Taiwanica
Volume7
Issue number1
StatePublished - 1998
Externally publishedYes

Keywords

  • Apneic ventilation
  • Palmar hyperhidrosis
  • Sympathectomy
  • Thoracoscopy

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