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상부위장관암 환자의 난치성 복통에 대한 흉강경적 내장신경절제술

Other Titles
 Thoracoscopic Splanchnicectomy for the Relief of Intractable Upper Abdominal Cancer Pain 
Authors
 김경식 
Citation
 Journal of the Korean Surgical Society (대한외과학회지), Vol.60(1) : 73~77, 2001 
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지) 
ISSN
 1226-0053 
Issue Date
2001
Abstract
Purpose: Pain is the most distressing feature of cancer patients. Thoracoscopic splanchnicectomy, first performed in 1993, has caused a resurgence of interest in surgical treatment of such excruciating pain. We wish to introduce a method of splanchnicectomy. Methods: Five patients underwent a splanchnicectomy for intractable cancer pain, over a period of 11 months. We evaluated the type of splanchnicectomy performed and the results. The procedure was done using a double lumen catheter to deflate the lung at the operation side under general anesthesia with the patient in the lateral decubitus position. A small opening was made with scissors in the pleura of the 5th intercostal space to expose the terminal branch of the greater splanchnic nerve. Six∼Seven branches of splanchnic nerve were cut downward until the splanchnic nerve trunk and then cut. A left thoracoscopic splanchnicectomy was done in one case, and a bilateral thoracoscopic splanchnicectomy in four cases. Results: The splanchicectomy appears to result in significant reduction of abdominal pain in all cases. There were no postoperative complications. Conclusion: As a conclusion, thoracoscopic splanchnicectomy is the treatment of choice for intractable intraabdominal cancer pain, affording drug cessation and recovery of daily activity in most patients.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/142213
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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