Videothoracoscopic Simultaneous Bilateral Posterior Splanchnicectomy - Initial Report

• Authors: Tomasz Stefaniak , Jacek Reszetow , Łukasz Żemojtel , Jarosłstrok;aw Kobiela , Wojciech Makarewicz , Łukasz Kaska , Jacek Krajewski , Monika Proczko-Markuszewska , Barbara Kwiecińska , Andrzej Łachiński , Andrzej Basiński , Zbigniew Śledziński
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

pain; advanced pancreatic cancer; splanchnicectomy

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2007
• Volume: 79
• Issue: 1
• Pages: 42-46

Dates

published

1 - 1 - 2007

online

24 - 9 - 2007

Contributors

author

Tomasz Stefaniak

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Jacek Reszetow

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Łukasz Żemojtel

• Department of Emergency Medicine, Medical University, Gdańsk

author

Jarosłstrok;aw Kobiela

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Wojciech Makarewicz

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Łukasz Kaska

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Jacek Krajewski

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Monika Proczko-Markuszewska

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Barbara Kwiecińska

• Department of Anesthesiology and Intensive Care, Medical University, Gdańsk

author

Andrzej Łachiński

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

author

Andrzej Basiński

• Department of Emergency Medicine, Medical University, Gdańsk

author

Zbigniew Śledziński

• Department of General, Endocrinological and Transplant Surgery, Medical University, Gdańsk

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Identifiers

DOI

10.2478/v10035-007-0039-1