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A Case of Thoracoscopic Splanchnicectomy for Relief of Intractable Pain in Pancreatic Cancer -A case report-  

Kim, Do Hyung (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Shim, Je Kwang (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Moon, Jin Chun (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Kyung Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Kim, Won Oak (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Duck-Mi (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Publication Information
The Korean Journal of Pain / v.19, no.1, 2006 , pp. 111-114 More about this Journal
Abstract
Pancreatic cancer often elicits intractable abdominal pain which has significant negative impact on the quality of life in patients. Various therapeutic modalities including celiac plexus block are being used to alleviate the pain. The anatomic location of the pancreas often hinders the spread of anesthetic or neurolytic solutions by obliterating the retrocrural space, thus making the classic retrocrural approach unsuccessful. The following case describes a patient with intractable abdominal pain originating from advanced pancreatic cancer, which could be managed successfully with thoracoscopic splanchnicectomy after retrocrural celiac plexus block had failed.
Keywords
intractable pain; pancreatic cancer; thoracoscopic splanchnicectomy;
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1 Rykowski JJ, Maciej H: Efficacy of neurolytic celiac plexus block in varying locations of pancreatic cancer: influence on pain relief. Anesthesiology 2000; 92: 347-58   DOI   ScienceOn
2 Chae YS, Lee WJ, Paik HC, Lee JH, Kim KS, Kim BR: Tho-rascopic splanchnicectomy for the relief of intractable upper abdominal cancer pain. J Kor Surg Soc 2001; 60: 73-7
3 Sunanda K, Victor TC, Jerry AS, James D: Video-assisted thoracoscope sympathectomy-splanchnicectomy for pancreatic cancer pain. J Pain Symptom Manage 2001; 22: 611-4
4 Sastre B, Carabalona B, Crespy B, Delpero JR: Transhiatal bilateral splanchnicotomy for pain control in pancreatic cancer: Basic anatomy, surgical technique and immediate results in fifty-one cases. Surgery 1996; 111: 640-6
5 Melki J, Riviere j, Roullee N, Soury P, Pellon C, Testart C: Spianchnicectomie thoracique sous videothoracoscopie. Presse Med 1993; 22: 1095-7
6 Lee HG, Yoon DM, Oh HK: A clinical evaluation of splanchnic nerve block with absolute ethanol. Korean J Pain 1991; 4: 116-7
7 Leung JWC, Bowenwright M, Aveling W, Shorvon PJ, Cotton PB: Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. Br J Surg 1983; 70: 730-2   DOI   ScienceOn
8 Wong GY, Schroeder DR, Cams PE, Wilson JL, Martin DP, Kinney MO, et al: Effect of neurolytic celiac plexus block on pain relief, quality of life, and survival in patients with unresectable pancreatic cancer: a randomized controlled trial. JAMA 2004; 291: 1092-9   DOI   ScienceOn
9 Marc N, Marc M, Jan D, Walter V: Thoracoscopic splanchni-colysis for the pain relief of chronic pancreatitis pain. Chest 1998; 113: 528-31   DOI   ScienceOn
10 Lin CC, Mo LR, Lin YW, Yau MP: Bilateral thoracoscopic lower sympathetic-splanchnicectomy for upper abdominal cancer pain. Eur J Surg 1994; 572(Suppl): 59-62
11 Rosenthal JA: Diaphragmatic paralysis complicating alcohol splanchnic nerve block. Anesth Analg 1998; 86: 845-6   DOI
12 Thanakumar JAC, Chintapatla S: Thoracoscope pancreatic denervation for pain control in irresectable pancreatic cancer. Br J Surg 1994; 81: 149
13 Takahashi T, Kakita A, Izumika H, lino Z, Furuta K, Yoshida KM, et al: Thoracoscopic splanchicectomy for the relief of intractable abdominal pain. Surg Endosc 1996; 10: 65-8   DOI
14 Stefaniak T, Basinski A, Vingerhoets A, Makarewicz W, Connor S, Kaska L, et al: A comparison of two invasive techniques in the management of intractable pain due to inoperable pancreatic cancer: neurolytic celiac plexus block and videothoracoscopic splan-chnicectomy. Eur J Surg Oncol 2005; 31: 768-73   DOI   ScienceOn
15 Rykowski JJ, Maciej H: Efficacy of neurolytic celiac plexus block in varying locations of pancreatic cancer: influence on pain relief. Anesthesiology 2000; 92: 347-58   DOI   ScienceOn
16 Sunanda K, Victor TC, Jerry AS, James D: Video-assisted thoracoscopic sympathectomy-splanchnicectomy for pancreatic cancer pain. J Pain Symptom Manage 2001; 22: 611-4