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OBJECTIVE: To compare the safety, feasibility and cost-effectiveness of single or double-lumen intratracheal intubation anesthesia for needle video-assisted thoracoscopic (VATS) T3~4 sympathectomy in palmar hyperhidrosis.
METHODS: Forty consecutive palmar hyperhidrosis patients who underwent needle VATS T3~4 sympathectomy between July 2013 and December 2013 in a single center were included in this study. Forty patients were divided into single-lumen intratracheal intubation group (n=20) and double-lumen intratracheal intubation group (n=20) using computer-generated random number table. The time of intubation, operation, hospital stay, anesthesia cost and hospital cost were recorded. All patients were followed up at thirty days after operation.
RESULTS: There was no difference between two groups in terms of age, sex, disease duration, weight, height, BMI and family history(P>0.05). Patients who underwent single-lumen intratracheal intubation had a shorter time of intubation((6.85±1.50)min vs. (14.70±3.31)min, t=9.664, P=0.000), lower anesthesia cost ((3028.65±252.60)RMB vs. (4055.25±259.60)RMB, t=12.675, P=0.000) and hospital cost((8380.75±339.70)RMB vs. (9468.85±420.39)RMB, t=9.003, P=0.000) compared to the double-lumen intratracheal intubation group. No statistically significant differences were observed between the difficult intubation, operation time, hospital stay, complication, remission rate and compensatory hyperhidrosis.
CONCLUSIONS: Both single and double-lumen intratracheal intubation for needle VATS T3~4 sympathectomy are safe and feasible. Single-lumen intubation has short intubation time and better cost-effectiveness compared to double-lumen intubation.