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상부위장관암 환자의 난치성 복통에 대한 흉강경적 내장신경절제술

Other Titles
 Thoracoscopic Splanchnicectomy for the Relief of Intractable Upper Abdominal Cancer Pain 
 채윤석 ; 김경식 ; 이종훈 ; 백효채 ; 김병로 ; 이우정 
 Journal of the Korean Surgical Society (대한외과학회지), Vol.60(1) : 73~77, 2001 
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지) 
Issue Date
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.
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1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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