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상부위장관암 환자의 난치성 복통에 대한 흉강경적 내장신경절제술
DC Field | Value | Language |
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dc.contributor.author | 김경식 | - |
dc.contributor.author | 백효채 | - |
dc.date.accessioned | 2016-02-19T11:01:12Z | - |
dc.date.available | 2016-02-19T11:01:12Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/142213 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 상부위장관암 환자의 난치성 복통에 대한 흉강경적 내장신경절제술 | - |
dc.title.alternative | Thoracoscopic Splanchnicectomy for the Relief of Intractable Upper Abdominal Cancer Pain | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 채윤석 | - |
dc.contributor.googleauthor | 김경식 | - |
dc.contributor.googleauthor | 이우정 | - |
dc.contributor.googleauthor | 김병로 | - |
dc.contributor.googleauthor | 백효채 | - |
dc.contributor.googleauthor | 이종훈 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00299 | - |
dc.relation.journalcode | J01893 | - |
dc.subject.keyword | Thoracoscopy | - |
dc.subject.keyword | splanchicectomy | - |
dc.contributor.alternativeName | Kim, Kyung Sik | - |
dc.contributor.affiliatedAuthor | Kim, Kyung Sik | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 60 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 73 | - |
dc.citation.endPage | 77 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.60(1) : 73-77, 2001 | - |
dc.identifier.rimsid | 31690 | - |
dc.type.rims | ART | - |
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