A simplified T2-T3 thoracoscopic sympathicolysis technique for the treatment of essential hyperhidrosis: short-term results in 100 patients

J Laparoendosc Surg. 1996 Jun;6(3):151-9. doi: 10.1089/lps.1996.6.151.


A simplified one-time bilateral thoracoscopic T2-T3 sympathicolysis technique using single-lumen endotracheal intubation with high frequency jet ventilation and electrocautery destruction ("sympathicolysis") of the sympathetic ganglia was applied in 100 consecutive patients with severe essential hyperhidrosis (EH). Providing a pleural space can be created, this technique was proven simple and safe, and short-term clinical results were excellent: palmar hyperhidrosis was cured in 98% of patients, and axillar and plantar improvement was achieved in 62 and 65% of patients, respectively. Side-effects and complications were minor (compensatory hyperhidrosis) or self-limiting (pain). These data confirm the safety and efficacy of thoracoscopic sympathetic interventions for the treatment of EH, and support the evolution toward simplified methodologies.

MeSH terms

  • Adolescent
  • Adult
  • Chi-Square Distribution
  • Child
  • Female
  • Ganglia, Sympathetic / surgery
  • Humans
  • Hyperhidrosis / surgery*
  • Intubation, Intratracheal
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Sympathectomy / adverse effects
  • Sympathectomy / methods*
  • Thoracic Vertebrae / innervation*
  • Thoracoscopy
  • Treatment Outcome