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Bilateral thoracoscopic splanchnicectomy with sympathectomy for managing abdominal pain in cancer patients

Authors
 Chang Moo Kang  ;  Hye Yeon Lee  ;  Byong Ro Kim  ;  Woo Jung Lee  ;  Jin Sub Choi  ;  Kyung Sik Kim  ;  Young Chun Gil  ;  Han Jung Jang  ;  Hee Jun Yang 
Citation
 American Journal of Surgery, Vol.194(1) : 23-29, 2007 
Journal Title
 American Journal of Surgery 
ISSN
 0002-9610 
Issue Date
2007
Abstract
BACKGROUND: Simple interruption of splanchnic nerve can lead to incomplete transection of nerve fibers responsible for cancer-derived abdominal visceral because lots of neural communications exist. METHODS: From December 1999 to June 2005, a total of 21 cancer patients underwent bilateral thoracoscopic 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 thoracoscopic procedure was assessed based on the NRS reevaluated after surgery. RESULTS: NRS 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. CONCLUSION: This bilateral thoracoscopic splanchnicectomy with sympathectomy is safe, easy, and effective method in managing cancer-derived visceral abdominal pain.
Full Text
http://www.sciencedirect.com/science/article/pii/S0002961007002450
DOI
10.1016/j.amjsurg.2006.11.018
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Gil, Young Chun(길영천)
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Byong Ro(김병로)
Yang, Hee Jun(양희준)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Lee, Hye Yeon(이혜연) ORCID logo https://orcid.org/0000-0001-6945-1967
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Choi, Jin Sub(최진섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95580
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