A Comparative Study of Dual-micro-port and Uniport Video-assisted Thoracoscopic Surgery for Palmar Hyperhidrosis
Objective To study the advantages and disadvantages of dual-micro-port and uniport video-assisted thoracoscopic surgery(VATS)for palmar hyperhidrosis(PH).Methods A retrospective study was performed on 60 patients with PH from January 2020 to February 2024.Before 2022,30 patients underwent uniport VATS,and after that,30 patients were given dual-micro-port VATS.For the dual-micro-port group,two 3 mm trocar puncture ports were located 1.5 cm apart on the middle axillary line,and a 30° 3 mm thoracoscope was used.For the uniport group,a 6 mm incision on the middle axillary line was made and a 30° 5 mm thoracoscope was used.Both groups underwent bilateral thoracic sympatheetomy at segment of R4.The operation time,blood loss,postoperative hospital stay,levels of pain during the first 24 hours after surgery(Numeric Rating Scale,NRS),postoperative complications,and compensatory sweating were compared between the two groups.Results The procedures were successfully performed.Both hands were warm and dry immediately after surgery without complications occurred in both groups.The NRS score of the dual-micro-port group was lower than that of the uniport group[(1.3±0.8)points vs.(1.8±0.9)points,t=-2.578,P=0.012].There were no significant differences in operation time[(28.3±9.3)min vs.(30.7±8.2)min],blood loss[(6.2±2.5)ml vs.(7.0±3.1)ml],postoperative hospital stay[1(1-2)dvs.1(1-3)d],or incidence[33％(10/30)vs.27％(8/30)]and grade of compensatory sweating between the two groups(P＞0.05).Conclusions Both dual-micro-port and uniport VATS for PH are safe and effective.The dual-micro-port VATS has hidden incision,good cosmetic results,and less postoperative pain.
万方数据
维普
