Korean J Leg Med.
2008 Nov;32(2):144-149.
Sudden Deaths During Endoscopic Thoracoscopic Sympathicotomy
- Affiliations
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- 1Institute of Forensic Medicine, Pusan National University School of Medicine, Busan, Korea. kamcho@hanafos.com
Abstract
- Endoscopic thoracoscopic sympathicotomy (ETS) for treatment of hyperhidrosis is usually considered as a simple and safe procedure. The complication of ETS is low and no death following ETS has ever been reported in the literature without anecdotal fatal cases. Recently, we experienced two cases of intraoperative cardiac arrest and death. Two patients are suffered from sudden cardiac arrest after transection of the left sympathetic nerve trunk by the thoracoscopic method. Vigorous cardiopulmonary resuscitations were performed but both patients are not recovered. Autopsy examinations are performed and there are no remarkable pathology.