{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T19:06:12Z","timestamp":1775329572468,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,10,19]],"date-time":"2005-10-19T00:00:00Z","timestamp":1129680000000},"content-version":"vor","delay-in-days":5040,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hyperhidrosis palmaris is a common disorder among the Orientals. Despite numerous therapeutic modalities in practice, none has proved entirely satisfactory. With the introduction of video\u2010endoscopic surgery, we combined this system with a fiber optic Nd\u2010YAG laser unit, electrocautery, and a laser Doppler flowme\u2010ter to design a new and promising therapeutic technique for palmar hyperhidrosis.<\/jats:p><jats:p>General anesthesia with alternating one\u2010lung ventilation is essential for a safe and smooth endoscopic sympathectomy. An operating endoscope was introduced into thoracic cavity via the second intercostal space and then attached to a CCD camera video system, which provided clear visibility of the sympathetic trunk in most cases. The proper level of the sympathetic trunk was further confirmed with the aid of vasomotor response of the palmar skin resulting from electric stimulation on the related sympathetic trunk. Finally, the confirmed target was precisely vaporized with a low power Nd\u2010YAG laser through an endoscope.<\/jats:p><jats:p>Twenty patients underwent bilateral symapthectomy, mostly on T2 and its adjacent trunk. This technique did not cause any injury to the lung or bleeding. No Horner's syndrome was produced. It provided a precise ganglionectomy on a confirmed target under clear magnified vision. Consequently, a definite and long\u2010lasting therapeutic effect seemed warranted. It was considered to be a relative minor and safe procedure causing minimal discomfort and an almost invisible scar without producing serious complications. It also shortened the operation time and hospital stay remarkably in comparison with other open sympathectomy procedures. \u00a9 1992 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/lsm.1900120311","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T14:05:09Z","timestamp":1172930709000},"page":"308-312","source":"Crossref","is-referenced-by-count":23,"title":["Laser endoscopic sympathectomy for palmar hyperhidrosis"],"prefix":"10.1002","volume":"12","author":[{"given":"Ming\u2010Chien","family":"Kao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/jid.1951.34"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.1001\/archderm.1975.01630210074008","article-title":"Topical methenamine therapy for hyperhidro\u2010sis","volume":"111","author":"Cullen SI","year":"1975","journal-title":"Arch Dermatol"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1987.01660310061015"},{"key":"e_1_2_1_5_2","first-page":"68","article-title":"Palmar hyperhidrosis","volume":"35","author":"Kao MC","year":"1978","journal-title":"J Health World"},{"issue":"6","key":"e_1_2_1_6_2","first-page":"811","article-title":"Percutaneous radiofrequency upper thoracic sympathectomy: A new technique","volume":"15","author":"Wilkinson HA","year":"1984","journal-title":"Neurosurgery"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198709000-00010"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198803000-00031"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1969.30.5.0545"},{"key":"e_1_2_1_10_2","first-page":"291","article-title":"Thoracic sympathectomy for palmar hyperhidrosis: Report of 457 cases","volume":"10","author":"Shih CJ","year":"1978","journal-title":"Surg Neurol"},{"key":"e_1_2_1_11_2","first-page":"291","article-title":"Thoracic endoscopic sympathectomy for palmar hyperhidrosis","volume":"10","author":"Kux M","year":"1978","journal-title":"Arch Surg"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800670123"},{"key":"e_1_2_1_13_2","first-page":"93","article-title":"Endoscopic thoracic sympathectomy in the treatment of upper limb hyperhidrosis","volume":"68","author":"Malone PS","year":"1986","journal-title":"Ann R College Surg Eng"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60655-8"},{"key":"e_1_2_1_15_2","first-page":"384","volume-title":"Thoracic Anesthesia","author":"Wilson RS","year":"1983"},{"key":"e_1_2_1_16_2","unstructured":"KaoMC. Video endoscopic sympathectomy with laser for palmar hyperhidrosis in manual of 7th Annual Meeting of Laser Medicine Society ROC 1990 pp9\u201316."},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-198903000-00026"},{"key":"e_1_2_1_18_2","first-page":"250","volume-title":"Calender's Surgical Anatomy","author":"Anson BJ","year":"1958"},{"key":"e_1_2_1_19_2","first-page":"76","volume-title":"Gray's Anatomy","author":"Goss CM","year":"1959"}],"container-title":["Lasers in Surgery and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flsm.1900120311","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.1900120311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T20:54:37Z","timestamp":1698094477000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lsm.1900120311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1002\/lsm.1900120311"],"URL":"https:\/\/doi.org\/10.1002\/lsm.1900120311","archive":["Portico"],"relation":{},"ISSN":["0196-8092","1096-9101"],"issn-type":[{"value":"0196-8092","type":"print"},{"value":"1096-9101","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}