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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Pain Relieving Effect of Intraoperative Chemical Splanchnicectomy of Celiac Ganglions in Patients with Resectable Pancreatic or Gastric Masses: A Randomized Clinical Trial
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Pain Relieving Effect of Intraoperative Chemical Splanchnicectomy of Celiac Ganglions in Patients with Resectable Pancreatic or Gastric Masses: A Randomized Clinical Trial

机译：可转移胰腺或胃肿块患者腹腔神经神经神经神经神经神经术治疗疼痛缓解效果：随机临床试验

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Background . Trials of intraoperative chemical splanchnicectomy during resection of pancreatic and gastric masses resulted in significant difference in a patient’s postoperative pain. This study aims to determine if splanchnicectomy by alcohol neurolysis can relieve postoperative pain after gastrectomy and Whipple surgery. The study explores differences in outcomes at first four months after surgery. Methods . Fifty-eight patients with gastric and 60 patients with pancreatic resectable masses were included (28 were lost to follow-up). Each randomized in control and intervention subgroups. Intervention subgroups underwent chemical blockage of celiac ganglions by ethanol injection at both sides of suprapancreatic aorta. Participants were asked to report their pain intensity according to the Visual Analogue Scale (VAS) at specific times. Result . The overall postoperative pain of injected Whipple and gastrectomy subgroups was lower than the noninjected Whipple and gastrectomy subgroups ( p 0.001 ). The pain-modifying effect of the injection was not different between Whipple and gastrectomy groups ( p = 0.125 ) Conclusion . Splanchnicectomy is recommended for pain reduction after abdominal operations. Perspective . This article presents positive effect of intraoperative chemical splanchnicectomy during resection of pancreatic and gastric masses on postoperative pain. This is an easy, effective, safe, and inexpensive procedure recommended for all operable gastric or pancreatic masses to palliate the pain degree.
机译：背景 。切除胰腺癌和胃肿块期间术中化学术的试验导致患者术后疼痛的显着差异。本研究旨在确定醇神经溶解的Splancoctomy是否可以缓解胃切除术后和咀嚼手术后的术后疼痛。该研究在手术后前四个月探讨了结果的差异。方法 。将五十八名胃和60例胰腺可重症群体患者（28例失去随访）。每个在控制和干预子组中随机化。干预亚组通过乙醇注射在Suprapancreatic主动脉两侧进行乳腺神经节化学堵塞。要求参与者根据特定时间根据视觉模拟量表（VAS）报告它们的疼痛强度。结果 。注射奶子和胃切除术亚组的整体术后疼痛低于非注射的奶和胃切除术亚组（p 0.001）。乳剂和胃切除术之间注射的疼痛改性效果在（P = 0.125）结论之间没有差异。建议在腹部操作后疼痛减少的SplancNececectomy。看法 。本文在术后疼痛切除胰腺癌和胃肿块过程中提出了术中化学Splanc断裂术的积极作用。这是一种简单，有效，安全，廉价的程序，推荐所有可操作的胃或胰腺，以缓解疼痛程度。

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