{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T06:02:26Z","timestamp":1769580146775,"version":"3.49.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The objective was to compare computed tomography (CT)-guided thoracic sympathicolysis (CTSy) and video-assisted thoracoscopic sympathectomy (VATS) with regard to their feasibility, the occurrence of minor and major complications, and the clinical outcome.<\/jats:p><jats:p>\n          Materials and Methods\u2003In this study, 88 patients treated by CTSy and 86 patients treated by VATS were retrospectively included. CTSy was performed after establishing the entry plane below the level of the intervertebral space T2\/3 via a dorsolateral approach using a 22-G coaxial needle. On average of 5\u2009mL of a sympathicolytic mixture was instilled. VATS was performed under intubation anesthesia. After insertion of the instruments via a minithoracotomy, the parietal pleura was dissected and the sympathetic trunk severed below T2. The interventions were performed unilaterally, the contralateral side being treated after approximately 6 weeks. All patients evaluated their sense of discomfort before treatment as well as 2 days, 6, and 12 months after, on the basis of a Dermatology Quality of Life Index and additionally the side effects that occurred.<\/jats:p><jats:p>\n          Results\u2003Both treatments led to a marked reduction of symptoms, whereby mild recurrent sweating occurred over the further course, significantly higher in the CTSy patient group. Short-term miosis and ptosis were rarely found in both groups. As the most common side effect, transient compensatory sweating was reported by 16\/88 patients after CTSy and 10\/86 patients after VATS. Pneumothoraces developed postoperatively in 7\/86 cases. Temporary pain after thoracotomy was experienced by 12\/86 patients.<\/jats:p><jats:p>\n          Conclusion\u2003For patients with palmar hyperhidrosis, CTSy and VATS represented a minimally invasive treatment option that provided a high and largely equivalent level of benefit.<\/jats:p>","DOI":"10.1055\/s-0041-1725205","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T07:20:21Z","timestamp":1618557621000},"page":"152-158","source":"Crossref","is-referenced-by-count":3,"title":["CT-guided Thoracic Sympathicolysis versus VATS Sympathectomy in the Therapeutic Concept for Severe Primary Palmar Hyperhidrosis"],"prefix":"10.1055","volume":"70","author":[{"given":"Julian Ramin","family":"Andresen","sequence":"additional","affiliation":[{"name":"Medical School, Sigmund Freud University, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Scheer","sequence":"additional","affiliation":[{"name":"Institute of Diagnostic and Interventional Radiology\/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Schl\u00f6ricke","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aria","family":"Sallakhi","sequence":"additional","affiliation":[{"name":"Medical School, Sigmund Freud University, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc Olaf","family":"Liedke","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reimer","family":"Andresen","sequence":"additional","affiliation":[{"name":"Institute of Diagnostic and Interventional Radiology\/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.jaad.2003.12.029","article-title":"Recognition, diagnosis, and treatment of primary focal hyperhidrosis","volume":"51","author":"J Hornberger","year":"2004","journal-title":"J Am Acad Dermatol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1067\/mva.2002.119507","article-title":"Palmar hyperhidrosis: evidence of genetic transmission","volume":"35","author":"K M Ro","year":"2002","journal-title":"J Vasc Surg"},{"issue":"01","key":"ref3","first-page":"51","article-title":"Comparison of sympathetic skin response between palmar hyperhidrotic and normal subjects","volume":"44","author":"B Kazemi","year":"2004","journal-title":"Electromyogr Clin Neurophysiol"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"681","DOI":"10.2165\/00128071-200304100-00003","article-title":"Management of primary hyperhidrosis: a summary of the different treatment modalities","volume":"4","author":"M Connolly","year":"2003","journal-title":"Am J Clin Dermatol"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1007\/s004640080042","article-title":"Thoracoscopic sympathectomy for palmar hyperhidrosis. 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