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MMCTS (May 7, 2007). doi:10.1510/MMCTS.2004.000323
Copyright © 2007 European Association for Cardio-thoracic Surgery

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Procedure


Endoscopic VATS sympathectomy: the uniportal technique

Gaetano Rocco*

The Price-Thomas Thoracic Unit, Directorate of Cardiothoracic Surgery, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield S5 7AU, UK

* Corresponding author: * Tel.: +44-114-2714950; fax: +44-114-2610350Gaetano.Rocco{at}btopenworld.com

Presentation of the uniportal VATS sympathectomy technique: through a single port incision, a videothoracoscope, a diathermy hook and, if needed, a lung grasper are introduced into the pleural cavity. Upon identification of the sympathetic chain, the relevant ganglia are divided. By extending laterally the dissection, the aberrant accessory sympathetic nerve fibers are also severed. Anatomic variations are illustrated and an overview of the literature is presented.

Key Words: Hyperhidrosis • Sympathectomy • VATS

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Copyright © 2007 by The European Association for Cardio-thoracic Surgery.