초록접수 현황
| 20F-024 | 구연 발표 |
Endoscopic Lumbar Sympathectomy for Primary Plantar Hyperhidrosis: The learning curve and initial outcome
Duk Hwan Moon, Seung Hwan Song, Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
Purpose : Endoscopic lumbar sympathectomy (ELS), a definite treatment of primary plantar hyperhidrosis (PPH), remains to be a challenge to thoracic surgeons due to unfamiliarity. Hence, the aim of this study is to evaluate the learning curve and clinical outcomes of ELS for PPH
Methods : This study included a total of 42 consecutive patients who underwent ELS by a single operator between September 2019 and July 2020. Learning curves were made by the cumulative sum (CUSUM) methods using the number of cases and three surgical technique-related factors, including operation time, postoperative complication, and clinical outcomes.
Results : The average age of patients was 28.3±9.2 years; there were 24 (57.1%) females. There were no cases of operative mortality or major bleeding. ELS was performed concurrently with endoscopic thoracic sympathectomy (ETS) in 23 (54.8%) patients. The average operative time of ELS was 63.3 ± 30.5 min. Postoperative leg swelling and post-sympathetic neuralgia were seen in four and five patients, respectively. There was no case of postoperative retrograde ejaculation. Moreover, there was no compensatory hyperhidrosis in patients who received ELS only. CUSUM analysis reached to proficiency at 26 cases for duration of the operations.
Conclusion : ELS is known to be the most effective treatment for PHH, providing excellent short-term outcome. Like any treatment, there are some risks and complications involved, but it seems to be possible to overcome them.
Methods : This study included a total of 42 consecutive patients who underwent ELS by a single operator between September 2019 and July 2020. Learning curves were made by the cumulative sum (CUSUM) methods using the number of cases and three surgical technique-related factors, including operation time, postoperative complication, and clinical outcomes.
Results : The average age of patients was 28.3±9.2 years; there were 24 (57.1%) females. There were no cases of operative mortality or major bleeding. ELS was performed concurrently with endoscopic thoracic sympathectomy (ETS) in 23 (54.8%) patients. The average operative time of ELS was 63.3 ± 30.5 min. Postoperative leg swelling and post-sympathetic neuralgia were seen in four and five patients, respectively. There was no case of postoperative retrograde ejaculation. Moreover, there was no compensatory hyperhidrosis in patients who received ELS only. CUSUM analysis reached to proficiency at 26 cases for duration of the operations.
Conclusion : ELS is known to be the most effective treatment for PHH, providing excellent short-term outcome. Like any treatment, there are some risks and complications involved, but it seems to be possible to overcome them.
책임저자: Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
발표자: Duk Hwan Moon, E-mail : pupupuck@yuhs.ac