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[Video thoracoscopic splanchnicectomy in persistent epigastric pain]
T Suchý1, M Bernardová, L Etflais
1Chirurgické oddĕlení ON, Jicín.
Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|September 1, 1995
Summary
Videothoracoscopic left-sided splanchnicectomy offers effective pain relief for patients with inoperable epigastric malignancy or chronic pancreatitis. This minimally invasive approach provides immediate pain alleviation with favorable outcomes.
Area of Science:
- Minimally invasive surgery
- Pain management
- Gastrointestinal surgery
Context:
- Persistent pain from inoperable epigastric malignancy and chronic pancreatitis poses significant challenges.
- Traditional surgical and non-surgical interventions for splanchnic nerve palliation have limitations, including technical difficulties, patient burden, and procedural risks.
Purpose:
- To evaluate the efficacy and safety of videothoracoscopic left-sided splanchnicectomy for palliation of intractable pain.
- To present the authors' experience with this minimally invasive technique in patients with malignant and chronic pancreatitis-related pain.
Summary:
- The study involved nine patients undergoing videothoracoscopic left-sided splanchnicectomy for pain palliation.
- Seven patients had pain due to malignant processes, and two had pain from chronic pancreatitis.
- All patients experienced immediate pain relief, with two reporting recurrence later.
Impact:
- Videothoracoscopic left-sided splanchnicectomy is a recommended, minimally invasive procedure for managing severe epigastric pain.
- This technique offers a favorable alternative to more invasive or risky pain palliation methods.
- The study highlights the potential for improved quality of life in patients with refractory pain.