Bilateral Thoracoscopic Splanchnicectomy: Effects on Pancreatic Pain and Function
| Autor: | Ramon Lillo-Gil, Evita Zoucas, Åke Andrén-Sandberg, Ingemar Ihse, Erik Gyllstedt |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Pancreatic disease genetic structures Pain Thoracoscopic splanchnicectomy medicine Thoracoscopy Humans Statistical analysis Prospective Studies Pancreas Aged Aged 80 and over medicine.diagnostic_test business.industry Scientific Papers of the European Surgical Association Splanchnic Nerves Middle Aged medicine.disease Endoscopy Surgery Pancreatic Neoplasms Pancreatic Function Tests medicine.anatomical_structure Pancreatitis Pancreatic pain Chronic Disease Female business |
| Zdroj: | Annals of Surgery. 230:785 |
| ISSN: | 0003-4932 |
| Popis: | To evaluate prospectively the effect of bilateral thoracoscopic splanchnicectomy on pancreatic pain and function.Severe pain is often the dominant symptom in pancreatic disease, despite a wide variety of methods used for symptom relief. Refinement of thoracoscopic technique has led to the introduction of thoracoscopic splanchnicectomy in the treatment of pancreatic pain.Forty-four patients, 23 with pancreatic cancer and 21 with chronic pancreatitis, were included in the study and underwent bilateral thoracoscopic splanchnicectomy. Effects on pain (visual analogue scale) and pancreatic function (standard secretin test, basal serum glucose, plasma insulin, and C-peptide) were measured.Four patients (9%) required thoracotomy because of bleeding. There were no procedure-related deaths. The mean duration of follow-up was 3 months for cancer and 43 months for pancreatitis. Pain relief was evident in the first postoperative week and was sustained during follow-up, the average pain score being reduced by 50%. All patients showed a decrease in consumption of analgesics. Neither endocrine nor exocrine function was adversely affected by the procedure.Bilateral thoracoscopic splanchnicectomy is beneficial in the treatment of pancreatic pain and is not associated with deterioration of pancreatic function. |
| Databáze: | OpenAIRE |
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