Clinical Emergency Hospital Bucuresti,
Calea Floreasca, No 8, Sector 1, Bucuresti
Romania
Surgical Techniques
Thoracoscopic Left Splanchnicectomy: Two Trocar Technique
Author(s): George Jinescu, Ion Lica, Septimiu Andrei, Cornelia Chidiosan and Mihnea DinuGeorge Jinescu, Ion Lica, Septimiu Andrei, Cornelia Chidiosan and Mihnea Dinu
Background: Abdominal hyperalgic syndrome in unresectable pancreatic cancer worsens the quality of patients' life. The goal of this article is to evaluate the feasibility of performing the left splanchnicectomy using a two trocar thoracoscopic approach.
Material and Methods: One patient suffering from intractable pain due to unresectable pancreatic cancer (stage IV) with liver metastasis underwent thoracoscopic unilateral left splanchnicectomy. The procedure was performed using only two trocars, one of 10 mm for the optic and one 5 mm working trocar for Hook electrocautery, scissors and grasper. To assess pain severity and the impact of this palliative procedure for pain relief, the patient completed Wong-Baker Faces Pain Rating Scale with a preoperative pain degree of 9.
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