| Autor: |
H, Lönroth, A, Hyltander, L, Lundell |
| Rok vydání: |
1997 |
| Předmět: |
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| Zdroj: |
The European journal of surgery = Acta chirurgica. 163(2) |
| ISSN: |
1102-4151 |
| Popis: |
To examine the effect of unilateral left sided thoracoscopic denervation of the upper gastrointestinal tract for treatment of chronic pain.Prospective study.University hospital, Sweden.Patients with intractable upper abdominal pain. Nine patients were treated who had the following diagnosis: pancreatic carcinoma (4), duodenal carcinoma (n = 1), chronic pancreatitis (3), and portal vein thrombosis (n = 1).Left-sided thoracoscopy with the patient anaesthetised using double-lumen endotracheal intubation that allowed ventilation of the right lung only. The sympathetic chain and splanchnic branches were divided from level IV to X-XI.Severity of pain assessed by a visual analogue scale and mean consumption of analgesic drugs.All patients reported substantial relief of pain postoperatively when they were studied during a mean follow-up period of 3 months. However, two patients (1 with pancreatic carcinoma and 1 with portal vein thrombosis) had recurrent pain after 3 months.Unilateral thoracoscopic sympathectomy induces adequate and lasting relief of pain caused by benign as well as malignant diseases originating from the pancreatic region. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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