کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282127 1611592 2007 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Bilateral thoracoscopic splanchnicectomy with sympathectomy for managing abdominal pain in cancer patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Bilateral thoracoscopic splanchnicectomy with sympathectomy for managing abdominal pain in cancer patients
چکیده انگلیسی

BackgroundSimple interruption of splanchnic nerve can lead to incomplete transection of nerve fibers responsible for cancer-derived abdominal visceral because lots of neural communications exist.MethodsFrom December 1999 to June 2005, a total of 21 cancer patients underwent bilateral thoracoscopoic segmental resection of splanchnic nerve with sympathectomy for intractable abdominal pain based on the anatomic observation of 26 embalmed Korean cadaveric specimens in Yonsei University Medical Center, Seoul, Korea. All patients were preoperatively asked to rate the extent of their current pain by using the numeric rating scale (NRS), where 0 indicated no pain and 10 indicated intractable pain. The effectiveness of this thoracoscopoic procedure was assessed based on the NRS reevaluated after surgery.ResultsNRS score was significantly reduced after thoracoscopic surgery (1.71 ± 1.10 versus 8.52 ± 1.08, paired t test, P < .0001). Sixteen patients (76.2%) could tolerate pain without or with reduced dose of analgesics. No mortality and morbidity were found in this study.ConclusionThis bilateral thoracoscopic splanchnicectomy with sympathectomy is safe, easy, and effective method in managing cancer-derived visceral abdominal pain.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 194, Issue 1, July 2007, Pages 23–29
نویسندگان
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