eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
Current issue Archive Special issues Subscription
SCImago Journal & Country Rank

 
3/2005
vol. 1
 
Share:
Share:
more
 
 
abstract:

Original paper
Thoracoscopic splanchnicectomy in chronic epigastric visceral pain therapy

Jacek Kordiak
,
Marian Brocki
,
Jacek Rysz
,
Robert Stolarek
,
Edyta J. Santorek-Strumiłło
,
Robert Gruda
,
Edward Jabłoński

Arch Med Sci 2005; 1, 3: 171-174
Online publish date: 2005/11/10
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 

Background:
The rapid development of minimal invasive surgery in the 1990s coincided with the introduction of videothoracoscopic splanchnicectomy of nerve fibers engaged in the sensation of chronic pain related with advanced cancer. This study was aimed to determine pain intensity in patients with advanced cancer in the epigastric region before and after thoracoscopic splanchnicectomy.
Material and methods: The thoracoscopic splanchnicectomy was performed in 33 patients aged 42 to 77 form 2001 to 2005. Patients with chronic epigastric pain due to advanced cancer were qualified for the surgery. The pain intensity was ranked with Prince Henry Hospital Pain Scale (PHHPS).
Results: Even though all study patients were on continuous analgesic medications, the mean pain intensity in PHHPS scale was 2.67 points. Two days and thirty days after the surgery, the pain was ranked 1.28 and 1.57, respectively. All patients decreased the doses of their analgesic medication and seven of them entirely discontinued analgesic therapy.
Conclusions: The thoracoscopic splanchnicectomy is well suited, although relatively little known, method of the therapy of chronic pain in advanced malignancy. It may be recommended as an option in the current palliative analgesic therapy.
keywords:

videothoracoscopy, pain management, thoracoscopic splanchnicectomy, pancreatic cancer

Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe