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首页> 外文期刊>Surgical Endoscopy >Thoracoscopic splanchnicectomy for control of intractable pain due to advanced pancreatic cancer.
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Thoracoscopic splanchnicectomy for control of intractable pain due to advanced pancreatic cancer.

机译：胸腔镜内脏切除术可控制由于晚期胰腺癌引起的顽固性疼痛。

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摘要

BACKGROUND: Severe upper abdominal pain is a dominant and distressing feature of advanced pancreatic cancer. This study was performed to evaluate pain intensity and to determine the ways in which pain may interfere with the common daily activities of patients with intractable pain before and after thoracoscopic splanchnicectomy. METHODS: Twenty-six left-sided thoracoscopic splanchnicectomies were performed. To assess pain severity and the impact of pain, all patients completed a short questionnaire using the 0-10 Numeric Rating Scale. The Pain Management Index was used to describe and compare the adequacy of analgesic management. Patients were evaluated 1 day prior to operation and for 6 months after the procedure. RESULTS: Pain was reduced significantly after the operation (p < 0.001), and all patients enjoyed consistent pain relief during the postoperative follow-up. The degree to which pain interfered with their daily function decreased significantly (p < 0.001) after surgery. The adequacy of the analgesic management improved, and none of the patients required opioids. CONCLUSIONS: Unilateral left thoracoscopic splanchnicectomy is a simple, minimally invasive, effective, and safe procedure that can be recommended as the method of choice for the management of intractable upper abdominal pain due to advanced pancreatic cancer.
机译：背景：严重的上腹部疼痛是晚期胰腺癌的主要特征和令人痛苦的特征。进行这项研究的目的是评估疼痛强度，并确定在胸腔镜内脏切除术前后，疼痛可能会干扰顽固性疼痛患者的日常活动的方式。方法：进行了26例左侧胸腔镜内脏切除术。为了评估疼痛的严重程度和疼痛的影响，所有患者均使用0-10数字评分量表填写了简短的问卷。疼痛管理指数用于描述和比较镇痛管理的适当性。在手术前1天和手术后6个月对患者进行评估。结果：术后疼痛明显减轻（p <0.001），所有患者在术后随访中均获得了持续的疼痛缓解。手术后疼痛影响其日常功能的程度显着降低（p <0.001）。镇痛治疗的适当性得到改善，并且没有患者需要阿片类药物。结论：单侧左胸腔镜内脏切除术是一种简单，微创，有效和安全的手术方法，可推荐作为治疗晚期胰腺癌所致顽固性上腹痛的首选治疗方法。

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