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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
 채윤석  ;  김경식  ;  이우정  ;  김병로  ;  백효채  ;  이종훈 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.60(1) : 73-77, 2001 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY (대한외과학회지)
ISSN
 1226-0053 
Issue Date
2001
Keywords
Thoracoscopy ; splanchicectomy
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.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Paik, Hyo Chae(백효채) ORCID logo https://orcid.org/0000-0001-9309-8235
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142213
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