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Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease.
Ann Thorac Surg 2016; 101(3):e91-3AT

Abstract

Chronic intractable pain is a common problem in severe pancreatic disease. Bilateral thoracoscopic splanchnotomy, a thoracoscopic neurotomy of the splanchnic nerves, is rarely performed but may provide significant pain relief in these patients. We present a safe strategy that uses prone positioning and two thoracoscopic ports for either hemithorax, permitting easy exposure and simple dissection of the greater and lesser splanchnic nerves. In our experience, this technique provides excellent pain relief with a minimal postoperative stay and few postoperative adverse events. This intervention has the potential to reduce dependency on opioid agents and improve quality of life in carefully selected patients.

Authors+Show Affiliations

Department of Surgery, Royal Gwent Hospital, Newport, United Kingdom. Electronic address: davebosanquet@hotmail.com.Postgraduate Centre, Southampton General Hospital, Southampton, United Kingdom.Department of Surgery, Royal Gwent Hospital, Newport, United Kingdom; University of South Wales, Newport, United Kingdom.

Pub Type(s)

Journal Article
Technical Report

Language

eng

PubMed ID

26897240

Citation

Bosanquet, David C., et al. "Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease." The Annals of Thoracic Surgery, vol. 101, no. 3, 2016, pp. e91-3.
Bosanquet DC, Wilcox CR, Rasheed A. Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease. Ann Thorac Surg. 2016;101(3):e91-3.
Bosanquet, D. C., Wilcox, C. R., & Rasheed, A. (2016). Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease. The Annals of Thoracic Surgery, 101(3), pp. e91-3. doi:10.1016/j.athoracsur.2015.10.019.
Bosanquet DC, Wilcox CR, Rasheed A. Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease. Ann Thorac Surg. 2016;101(3):e91-3. PubMed PMID: 26897240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease. AU - Bosanquet,David C, AU - Wilcox,Christopher R M, AU - Rasheed,Ashraf, PY - 2015/06/27/received PY - 2015/09/03/revised PY - 2015/10/09/accepted PY - 2016/2/22/entrez PY - 2016/2/22/pubmed PY - 2016/6/29/medline SP - e91 EP - 3 JF - The Annals of thoracic surgery JO - Ann. Thorac. Surg. VL - 101 IS - 3 N2 - Chronic intractable pain is a common problem in severe pancreatic disease. Bilateral thoracoscopic splanchnotomy, a thoracoscopic neurotomy of the splanchnic nerves, is rarely performed but may provide significant pain relief in these patients. We present a safe strategy that uses prone positioning and two thoracoscopic ports for either hemithorax, permitting easy exposure and simple dissection of the greater and lesser splanchnic nerves. In our experience, this technique provides excellent pain relief with a minimal postoperative stay and few postoperative adverse events. This intervention has the potential to reduce dependency on opioid agents and improve quality of life in carefully selected patients. SN - 1552-6259 UR - https://www.unboundmedicine.com/medline/citation/26897240/Bilateral_Thoracoscopic_Splanchnotomy_to_Alleviate_Pain_in_Chronic_Pancreatic_Disease L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-4975(15)01690-2 DB - PRIME DP - Unbound Medicine ER -