{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T06:58:06Z","timestamp":1772607486504,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,9,5]],"date-time":"2008-09-05T00:00:00Z","timestamp":1220572800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A subset of patients who undergo video\u2010assisted thoracoscopic sympathectomy for hyperhydrosis develop post\u2010procedure compensatory sweating that is perceived as more debilitating than their initial complaints. We propose a novel treatment to reverse sympathectomy by implantation of an intercostal nerve graft using the da Vinci robot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A robotic swine model was established using single\u2010lung ventilation and four ports. The pleura was incised and a representative segment of sympathetic chain was transected. A nearby intercostal nerve was harvested and sutured to the sympathetic chain using four interrupted 10\u20100 nylon sutures on the epineurium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The intercostal nerve was an excellent size match and post\u2010procedure necropsy yielded successful anastomoses without apparent complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic intercostal nerve grafting for reversal of thoracic sympathectomy is technically feasible. The robotic device allows the principles of neural microsurgery to be maintained and provides a minimally invasive option for reconstruction of the sympathetic chain. Copyright \u00a9 2008 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.205","type":"journal-article","created":{"date-parts":[[2008,9,5]],"date-time":"2008-09-05T13:03:20Z","timestamp":1220619800000},"page":"258-262","source":"Crossref","is-referenced-by-count":22,"title":["Robotic intercostal nerve graft for reversal of thoracic sympathectomy: a large animal feasibility model"],"prefix":"10.1002","volume":"4","author":[{"given":"M. J.","family":"Latif","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. N.","family":"Afthinos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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J.","family":"Belsley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,9,5]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2003.12.040"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2006.32334.x"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193507000-00003"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.02.087"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)00895-6"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.09.046"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.23"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.11.006"},{"key":"e_1_2_1_10_2","first-page":"13","article-title":"Thoracoscopic T2\u2010sympathetic block by clipping\u2014a better and reversible operation for treatment of hyperhidrosis palmaris: experience with 326 cases","volume":"580","author":"Lin CC","year":"1998","journal-title":"Eur J Surg"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.01.012"},{"key":"e_1_2_1_12_2","first-page":"17","article-title":"Secondary sympathetic chain reconstruction after endoscopic thoracic sympathicotomy","volume":"580","author":"Telaranta T","year":"1998","journal-title":"Eur J Surg"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198110000-00026"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20160"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000098364.94347.02"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.9870"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000073208.18059.62"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Frcs.205","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Frcs.205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T04:17:03Z","timestamp":1700021823000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,9]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.1002\/rcs.205"],"URL":"https:\/\/doi.org\/10.1002\/rcs.205","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,9]]}}}