Korean J Pain.  2006 Jun;19(1):111-114. 10.3344/kjp.2006.19.1.111.

A Case of Thoracoscopic Splanchnicectomy for Relief of Intractable Pain in Pancreatic Cancer: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. wokim@yumc.yonsei.ac.kr
  • 2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Pancreatic cancer often elicits intractable abdominal pain which has significant negative impact on the quality of life in patients. Various therapeutic modalities including celiac plexus block are being used to alleviate the pain. The anatomic location of the pancreas often hinders the spread of anesthetic or neurolytic solutions by obliterating the retrocrural space, thus making the classic retrocrural approach unsuccessful. The following case describes a patient with intractable abdominal pain originating from advanced pancreatic cancer, which could be managed successfully with thoracoscopic splanchnicectomy after retrocrural celiac plexus block had failed.

Keyword

intractable pain; pancreatic cancer; thoracoscopic splanchnicectomy

MeSH Terms

Abdominal Pain
Celiac Plexus
Humans
Pain, Intractable*
Pancreas
Pancreatic Neoplasms*
Quality of Life
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