%0 Journal Article
%T Simpatectom¨ªa toracosc¨®pica: una revisi¨®n de la literatura
%A Bejarano
%A B.
%A Manrique
%A M.
%J Neurocirug¨ªa
%D 2010
%I Scientific Electronic Library Online
%R 10.4321/S1130-14732010000100001
%X introduction: since its first description by kux in 1954, the thoracic endoscopic (thoracoscopic) sympathectomy has rendered the open techniques obsolete in the treatment of the hyperhidrosis and other sympathetic-related diseases. aim: the goal of this article is to present a critical review of the current indications, results and complications of the endoscopic thoracic sympathectomy. material and methods: an extensive search and review of published papers on the thoracoscopic sympathectomy was undertaken. results: the thoracoscopic sympathectomy has evolved as a therapeutic choice in patients with focal hyperhidrosis, pain syndromes and peripheral vascular disorders, particularly. the results, recurrences and complications are similar to the previously established open procedures; nevertheless, the morbidity, the hospital stay and the time to return to activities of daily living are substantially reduced. the highest success and satisfaction rates (over 95%) were observed among patients treated for focal hyperhidrosis. conclusions: the success and complication rates of thoracoscopic sympathectomy are comparable to those of open techniques, with an easier postoperative period and an earlier return to labor and daily living.
%K sympathectomy
%K thoracoscopy
%K hyperhidrosis
%K causalgia
%K raynaud disease.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1130-14732010000100001&lng=en&nrm=iso&tlng=en