Selective sympathectomy for hyperhidrosis: technique of robotic transthoracic selective postganglionic efferent sympathectomy.

Selective postganglionic efferent sympathectomy for hyperhidrosis is associated with excellent relief of hyperhidrosis and a low rate of compensatory hyperhidrosis. However, this technique can be difficult using conventional videoendoscopic techniques. We performed this technique using robotic technology in 55 patients. There was complete relief of hyperhidrosis in 53/55 (96%) patients, partial relief in 2/55 (4%) patients and a compensatory hyperhidrosis rate of 7%.