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Eur J Cardiothorac Surg 2003;24:425-427
© 2003 Elsevier Science NL

Outpatient thoracoscopic sympathicotomy for axillary osmidrosis

^a Division of Thoracic Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC
^b School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC

Received 24 February 2003; received in revised form 6 May 2003; accepted 12 May 2003.

^* Corresponding author. Tel.: +886-4-23592525x5045; fax: +886-4-23599715
e-mail: hjy{at}vghtc.vghtc.gov.tw

Objective: We evaluate the clinical results of thoracoscopic T3-4 sympathicotomy for axillary osmidrosis. Methods: From July 1995 to June 2001, 262 patients (208 females, 54 males) with axillary osmidrosis have been treated by thoracoscopic T3-4 sympathicotomy. All patients were followed up for a minimum of 10 months (average 42 months). The patients were evaluated by telephone or mail questionnaires. The results were categorized as excellent, good, fair, or poor. Results: There were no surgical mortalities and major complications in this series. The surgical outcomes were excellent in 144 (55%) patients, good in 39 (15%) patients, fair in 55 (21%) patients, and poor in 24 (9%) patients. Compensatory sweating developed in 171 (65%) patients. Dry hands developed in 40 (15%) patients. Conclusions: Thoracoscopic T3-4 sympathicotomy is a safe, fast, cosmetic, and effective method in treating axillary osmidrosis.

Key Words: Thoracoscopic sympathicotomy • Axillary osmidrosis

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