Search our Database of Scientific Publications and Authors

I’m looking for a
    Laparoendoscopic single-site retroperitoneal lumbar sympathectomy: initial report.
    Neurosurgery 2011 Jun;68(2 Suppl Operative):291-3
    Division of Neurosurgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, 289 Jianguo Road, Xindian, Taipei, Taiwan.
    Background: Retroperitoneoscopic lumbar sympathectomy is a safe and effective treatment for plantar hyperhidrosis.

    Objective: To evaluate the safety and feasibility of laparoendoscopic single-site retroperitoneal lumbar sympathectomy in plantar hyperhidrosis.

    Methods: Bilateral laparoendoscopic single-site retroperitoneal lumbar sympathectomy was performed in a 27-year-old man who suffered from excessive sweating from the soles of the feet. A homemade single port was created with an Alexis wound retractor through a 2.5-cm incision at the tip of the 12th rib. With conventional 5-mm laparoscopy and instruments, retroperitoneal lumbar sympathectomy was performed.

    Results: The procedure was completed successfully without any complications and with minimal blood loss. The operative time was 110 and 80 minutes for the procedure on the left and right sides. The perioperative course and postoperative course were uneventful. The patient had anhidrosis of both feet after surgery with Hyperhidrosis Disease Severity Scale score of 1 at the 1-month follow-up.

    Conclusion: Laparoendoscopic single-site retroperitoneal lumbar sympathectomy is a safe and feasible procedure according to our initial experience.

    Similar Publications

    Retroperitoneoscopic lumbar sympathectomy for the treatment of plantar hyperhidrosis: technique and preliminary findings.
    Surg Endosc 2007 Jan 6;21(1):129-35. Epub 2006 Sep 6.
    Department of Surgery, Landeskrankenhaus Gmunden, Miller von Aichholzstrasse 49, 4810, Gmunden, Austria.
    Background: Patients with plantar hyperhidrosis suffer physically and mentally from a disease that often cannot be treated sufficiently using conservative measures. This article reports the authors' experience with endoscopic lumbar sympathectomies for patients with plantar hyperhidrosis.

    Methods: Bilateral lumbar sympathectomy was performed for eight patients (3 women and 5 men). Read More
    Bilateral retroperitoneoscopic lumbar sympathectomy by unilateral access for plantar hyperhidrosis in women.
    J Laparoendosc Adv Surg Tech A 2010 Feb;20(1):1-6
    Department of General Surgery, Vita Batel Hospital, Curitiba, Paraná, Brazil.
    Objectives: Primary focal hyperhidrosis is a disorder of excessive, bilateral, and relatively symmetric sweating occurring in the axillae, palms, soles, or craniofacial region. Armpits are affected in 51% of patients, feet in 29%, palms in 25%, and the face in 20%. There is a wide range of nonsurgical and surgical treatments available for patients with focal hyperhidrosis. Read More
    Endoscopic lumbar sympathectomy for women: effect on compensatory sweat.
    Clinics (Sao Paulo) 2008 Apr;63(2):189-96
    Programa de Pós-Graduação em Ciências - Cirurgia Torácica e Cardiovascular, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
    Introduction: Plantar hyperhidrosis is present in 50% of patients with hyperhidrosis. Thoracic sympathectomy is an important tool for the treatment of this condition, which is successful in about 60% of patients. For the remaining patients, lumbar sympathectomy is the procedure of choice. Read More
    Laparoendoscopic single-site (LESS) retroperitoneal nephropexy with standard laparoscopic instruments.
    J Laparoendosc Adv Surg Tech A 2010 Apr;20(3):257-60; discussion 260
    Division of Urology, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan.
    A 65-year-old female suffered from recurrent urinary tract infection and intermittent right-flank soreness when active. Serial renal ultrasonography and supine/erect intravenous (i.v. Read More