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Vol. 21. Issue 1.
Pages 5-13 (January 2010)
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Vol. 21. Issue 1.
Pages 5-13 (January 2010)
Simpatectomía toracoscópica: una revisión de la literatura
Thoracoscopic sympathectomy: a literature review
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B. Bejarano
, M. Manrique
Departamento de Neurología y Neurocirugía. Clínica Universitaria de Navarra
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Resumen
Introducción

Desde su primera descripción en 1954 por Kux, la simpatectomía torácica endoscópica (toracoscópica) ha vuelto obsoletas a las técnicas abiertas en el tratamiento de la hiperhidrosis y otras patologías relacionadas con el sistema nervioso simpático.

Objetivo.

El propósito de este artículo es presentar una revisión crítica de las indicaciones actuales, resultados y complicaciones de la simpatectomía torácica endoscópica.

Material y métodos

Se llevó a cabo una búsqueda y revisión exhaustiva de trabajos publicados sobre la simpatectomía toracoscópica.

Resultados

La simpatectomía toracoscópica se ha desarrollado como una opción terapéutica en pacientes con hiperhidrosis focal, síndromes dolorosos y trastornos vasculares periféricos, fundamentalmente. Los resultados, recurrencias y complicaciones son equivalentes a los procedimientos abiertos previamente establecidos; sin embargo, la morbilidad, la estancia hospitalaria y el tiempo en volver a la vida diaria se reducen sustancialmente. Las mayores tasas de éxito y de satisfacción (más del 95%) se obtienen en sujetos tratados por hiperhidrosis focal.

Conclusiones

Las tasas de éxito y de complicación de la simpatectomía endoscópica son similares a las de las técnicas abiertas, siendo mejor tolerado el postoperatorio y más precoz el retorno a la vida cotidiana y laboral.

Palabras clave:
Simpatectomía
Toracoscopia
Hiperhidrosis
Causalgia
Enfermedad de Raynaud
Summary
Introduction

Since its first description by Kux in 1954, the thoracic endoscopic (thoracoscopic) sympathectomy has rendered the open techniques obsolete in the treatment of the hyperhidrosis and other sympathetic- related diseases.

Aim.

The goal of this article is to present a critical review of the current indications, results and complications of the endoscopic thoracic sympathectomy.

Material and methods

An extensive search and review of published papers on the thoracoscopic sympathectomy was undertaken.

Results

The thoracoscopic sympathectomy has evolved as a therapeutic choice in patients with focal hyperhidrosis, pain syndromes and peripheral vascular disorders, particularly. The results, recurrences and complications are similar to the previously established open procedures; nevertheless, the morbidity, the hospital stay and the time to return to activities of daily living are substantially reduced. The highest success and satisfaction rates (over 95%) were observed among patients treated for focal hyperhidrosis.

Conclusions

The success and complication rates of thoracoscopic sympathectomy are comparable to those of open techniques, with an easier postoperative period and an earlier return to labor and daily living.

Key words:
Sympathectomy
Thoracoscopy
Hyperhidrosis
Causalgia
Raynaud disease

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