Sympathectomy - History

Department of Cardiothoracic Surgery
Peer Review Status: Internally Peer Reviewed

1899 - Jaboulay suggested improvement in circulation

1916 - Jonnesco for treatment of angina

1920 - Kotzareff treatment of hyperhidrosis

1932 - Leriche and Fontaine performed sympathectomy for vascular disorders

1942 - Hughes endoscopic sympathectomy

1990 - Lin first VATS approach

Surgical Approaches

• Anterior thoracotomy
• Supraclavicular approach
• Posterior spinal approach
• Posterolateral thoracotomy
• Axillary thoracotomy
• Thoracoscopic approach
• 1, 2, or 3 ports