54. Success rate for thoracoscopic sympathetectomy was 93% (79/85)
overall.Conclusion TS for PH is a safe and feasible operation in children.
It is successful in the majority; however, the procedure is not trouble free.
Therapeutic success was achieved in 91% of
the cases as evidenced by anhidrosis.
The most common and severe technical difficulty during the procedure
was pleural adhesions in 116 cases (6.7%);
azygos lobes were seen in 7 patients (0.4%) and apical blebs in 3 patients (0.2%)
Postoperative satisfaction degree is high but decreases over
time owing to the appearance of recurrence.
Effectiveness and the absence of CS determine an excellent
quality of life. Six percent of the patients regret the surgery
because of severe CS. Informing patients of possible side
effects before TS is essential.