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![http://www.degruyter.com/view/j/pjs.2007.79.issue-1/v10035-007-0039-1/v10035-007-0039-1.pdf [zdalny]](images/mime-icons/pdf.gif "pdf")
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Języki publikacji
Abstrakty
Chronic pain syndrome (CPS), accompanying pancreatic diseases, especially chronic pancreatitis and pancreatic cancer requires the strongest analgesic agents and is considered difficult to manage. Conservative methods are unsatisfactory and their side effects lead to serious somatic and mental comorbidities.The aim of the study was to perform an initial evaluation of videothoracoscopic bilateral splanchnicectomy using the posterior approach, as the method of treatment in cases of advanced pancreatic cancer.Material and methods. During the period between May and July 2005 there were 10 simultaneous bilateral videothoracoscopic splanchnicectomies (BVSPL) performed in patients with chronic pain syndrome, due to advanced pancreatic cancer, at the Department of General, Endocrinological and Transplant Surgery, Medical University of Gdańsk.Results. All patients were discharged from the hospital on the second postoperative day. Subjective pain measured by the VAS scale changed from 84.3±7.6% before the operation to 25.3±5.3% during the first and second postoperative days. The median follow-up of patients was approximately 4 months (ranging between 2 and 6 months). The intensity of pain 2, 6, and 12 weeks after the procedure was 28.7±4.7%, 30.3±5.4% and 36.2±4.7%, respectively.Conclusions. This is the first description of this safe and feasible method in the Polish surgical literature. The surgical procedure can be safely performed in most surgical departments equipped with videoscopic instruments. Moreover, the short learning curve enables surgeons to perform this procedure well after a short training period. In combination with good results concerning subjective pain reduction, it can be concluded that BVSPL should be incorporated into the spectrum of surgical procedures in most surgical departments in Poland.
Słowa kluczowe
Wydawca
Czasopismo
Rocznik
Tom
Numer
Strony
42-46
Opis fizyczny
Daty
wydano
2007-01-01
online
2007-09-24
Twórcy
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of Emergency Medicine, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of Anesthesiology and Intensive Care, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
autor
- Department of Emergency Medicine, Medical University, Gdańsk
autor
- Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk
Bibliografia
- Lebovits AH, Lefkowitz M: Pain management of pancreatic carcinoma: a review. Pain 1989; 36(1): 1-11.[Crossref][PubMed]
- Freelove R, Walling AD: Pancreatic cancer: diagnosis and management. Am Fam Physician 2006; 73(3): 485-92.[PubMed]
- Okuyama M, Shibata T, Morita T et al.: A comparison of intraoperative celiac plexus block with pharmacological therapy as a treatment for pain of unresectable pancreatic cancer. J Hepatobiliary Pancreat Surg 2002; 9(3): 372-75.
- Moertel CG, Ahmann DL, Taylor WF et al.: Aspirin and pancreatic cancer pain. Gastroenterology 1971; 60(4): 552-53.[PubMed]
- Andtbacka RH, Evans DB, Pisters PW: Surgical and endoscopic palliation for pancreatic cancer. Minerva Chir 2004; 59(2): 123-36.[PubMed]
- Hammond B, Vitale GC, Rangnekar N et al.: Bilateral thoracoscopic splanchnicectomy for pain control in chronic pancreatitis. Am Surg 2004; 70(6): 546-49.
- Lillemoe KD, Pitt HA: Palliation. Surgical and otherwise. Cancer 1996; 78(3 Suppl): 605-14.[PubMed]
- Mallet-Guy P: La splanchnicectomie gauche dans le traitment des pancreatities chronicques. Presse Med 1943; 51: 145-46.
- Stone HH, Chauvin EJ: Pancreatic denervation for pain relief in chronic alcohol associated pancreatitis. Br J Surg 1990; 77: 303-05.[PubMed]
- Melki J, Riviere J, Roulee N et al.: Splanchnicectomie thoracique sous video-thoracoscopie. Presse Med 1993; 22: 1095-97.
- Worsey J, Ferson PF, Keenan RJ et al.: Thoracoscopic pancreatic denervation for pain control in inresectable pancreatic cancer. Br J Surg 1993; 80: 1051-52.[PubMed]
- Cuschieri A, Shimi SM, Crosthwaite G et al.: Bilateral endoscopic splanchnicectomy through a posterior thoracoscopic approach. J R Coll Surg Edinb 1994; 39(1): 44-47.
- Leksowski K, Gontarz W, Morawski T: Thoracoscopic splanchnicectomy as a method for the pain relief in the end stage of pancreas cancer or chronic pancreatitis. Surg Endosc 1998; 12(5): 682-85.
- Ihse I, Zoucas E, Gyllstedt E et al.: Bilateral thoracoscopic splanchnicectomy: effects on pancreatic pain and function. Ann Surg 1999; 230(6): 785-90.[Crossref][PubMed]
- Stefaniak T, Basinski A, Vingerhoets A 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 splanchnicectomy. Eur J Surg Oncol 2005; 31(7): 768-73.[Crossref][PubMed]
- Makarewicz W, Stefaniak T, Stanek A et al.: Factors determining morbidity and effectiveness in videothoracoscopic splanchnicectomy. Zentralbl Chir 2002; 127(11): 950-55.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-007-0039-1
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