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[Splanchnicectomy using the Dubois transhiatal approach. Current technical modifications].

B Carabalona, B Sastre, B Crespy

    Journal De Chirurgie
    |March 1, 1986
    PubMed
    Summary

    This study simplifies the Dubois

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    Area of Science:

    • Surgical techniques
    • Minimally invasive surgery
    • Pain management

    Context:

    • Splanchnicectomy is a surgical procedure to alleviate intractable pain.
    • The Dubois' trans-hiatal approach is a known surgical method for splanchnicectomy.
    • Modifications to existing surgical techniques are often sought to improve safety and efficacy.

    Purpose:

    • To describe technical modifications to the Dubois' trans-hiatal splanchnicectomy.
    • To simplify the surgical procedure for greater splanchnic nerve denervation.
    • To evaluate the safety and efficacy of the modified approach for intractable supramesocolic pain.

    Summary:

    • A modified Dubois' trans-hiatal splanchnicectomy was performed in 47 patients.
    • Key modifications included avoiding esophageal freeing and utilizing the aortic adventitia plane for pleural detachment.
    • These changes simplified the procedure and eliminated the need for antireflux surgery.

    Impact:

    • The modified technique offers a simpler and safer approach to splanchnicectomy.
    • This simplified method is a preferred option for treating intractable supramesocolic pain.
    • Potential for reduced operative time and complications in patients undergoing splanchnicectomy.

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