Thoracoscopic Splanchnicectomy for Relief of Intractable Pain in Pancreatic Cancer - 2 case reports -

췌장암 환자의 난치성 통증 해소를 위한 흉강경하 내장신경절제술 - 2예 보고 -

  • Kim, Jae-Jun (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Wang, Young-Pil (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Jae-Kil (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Suh, Jong-Hui (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Moon, Seok-Whan (Department of Thoracic and Cardiovascular Surgery, St, Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Young-Du (Department of Thoracic and Cardiovascular Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 김재준 (서울대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 왕영필 (서울대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 박재길 (서울대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 서종희 (서울대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 문석환 (가톨릭대학교 의과대학 성바오로병원 흉부외과학교실) ;
  • 김영두 (가톨릭대학교 의과대학 부천성가병원 흉부외과학교실)
  • Published : 2009.12.05

Abstract

Many patients with upper abdominal organ cancers, including pancreatic cancer, suffer from severe pain, and various methods and techniques have been used for relieving this pain. We present here two cases of patients with pancreatic cancer and they were both successfully relieved of their abdominal pain by performing video-assisted thoracoscopic sympathectomy and splanchnicectomy. This minimally invasive procedure offers promise in carefully selected patients with severe pain from pancreatic cancer and other conditions.

췌장암을 포함한 여러 종류의 상복부암에서 많은 환자들이 심한 통증으로 고생하고 있고, 이로 인해 여러 가지 방법들이 통증조절을 위해서 시도되었다. 저자들은 췌장암으로 극심한 고통을 가진 환자를 흉강경하 내장신경절제술과 교감신경절제술을 시행하였고 별다른 합병증 없이 효과적으로 통증을 조절하였다. 이 미세침습수술은 췌장암 등에 의해 고통 받는 일부 선택된 환자에 있어서 밝은 전망을 제시해 준다.

Keywords

References

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