Minimally invasive thoracic surgery has evolved significantly over the last decade and has become a mainstay in the technical repertoire of the modern thoracic surgeon. Division of the thoracicsympathetic nerves, or dorsal thoracic sympathectomy, has been described for treatment of a wide array of disorders including relief of hyperhidrosis, facial blushing, and reflex sympathetic dystrophy among other indications. Although large series have been reported from Europe or the Far East, few such reports have originated from North America. In this paper, we reviewed the data of one North American academic institution performing large volumes of video-assisted thoracic surgery procedures to analyze the indications, success, and safety of thoracoscopic sympathectomy.
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