Abstract:
:Although a transhiatal bilateral splanchnicotomy (TBS) has many advantages, it has not been widely employed as an effective minimal invasive therapy for intractable supramesenteric pain. Furthermore, the effects of TBS have not yet been clearly evaluated. Between 1995 and 1997, TBS was performed on 11 patients with intractable epigastric and/or flank pain due to unresectable pancreatic cancer, chronic pancreatitis, or an unknown cause. The effect of TBS on the pain was evaluated using a novel simple pain score and pain reduction percentage scaled on the basis of the medication and the judgments by patients themselves, respectively. The detection and cutting of the bilateral great splanchnic nerves were easily performed in all of the patients using common flexible chondrocostal retractors. The evaluation of the TBS effect using the pain score clearly demonstrated the early and late mean postoperative pain score (1.1 +/- 0.9 and 1.4 +/- 1.2: mean +/- SD) to be significantly (P = 0.0002 and P = 0.002, respectively) lower than the preoperative pain score (3.5 +/- 0.7). Furthermore, the mean postoperative pain reduction percentage (85% +/- 13%) evaluated by those patients was also significantly different (P < 0.0001). The present study showed no significant complications for TBS, except for minor complications such as the transient fall of blood pressure and reparable pleural damage. Interestingly, a long-term follow-up revealed that no complications related to the splanchnicotomy were observed. These results indicate that TBS is a useful treatment for patients with intractable supramesenteric pain caused by cancer as well as benign diseases.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Shimada S,Okamoto M,Hirota M,Tashima S,Yamaguchi K,Ogawa Mdoi
10.1007/BF02482261subject
Has Abstractpub_date
1999-01-01 00:00:00pages
1136-40issue
11eissn
0941-1291issn
1436-2813pii
10.1007/BF02482261journal_volume
29pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::Although there have been numerous reports on implantable infusion devices for chemotherapy of patients with malignancy, we occasionally face problems with this therapy due to trouble with implantation. We performed a retrospective review of 81 implantations in 77 patients, who were treated with intraarterial chemother...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/BF02385701
更新日期:1997-01-01 00:00:00
abstract::Reconstruction following total gastrectomy usually requires one of the various methods of esophagojejunal anastomosis. We present herein the case of a 78-year-old woman with gastric carcinoma involving the adjacent organs for which resection of the whole stomach, distal pancreas, transverse colon, and distal duodenum ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308986
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Laparoscopic sleeve gastrectomy (SG) has gained popularity and acceptance among bariatric surgeons, mainly due its low morbidity and mortality. The purpose of the present study was to evaluate the efficacy of SG on weight loss, and to determine the postoperative course, clinical presentation and treatment of co...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0688-0
更新日期:2014-07-01 00:00:00
abstract::We herein describe two cases of liver transplantation with portal vein thrombosis. In both cases, a tear advancing to the retropancreatic area occurred during portal vein thrombectomy. Hemorrhage from the limited visibility retropancreatic area made it impossible to stop the bleeding by clamping or direct suturing, an...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0647-9
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:Acute appendicitis has been suggested to be more aggravated in hemodialysis (HD) patients in comparison to non-HD patients but only scanty evidence demonstrates the conditions. METHODS:A retrospective cohort study was done for HD and non-HD patients with a discharge diagnosis of acute appendicitis in a single ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0349-8
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:To investigate the effects of antibiotics and the probiotic, Saccharomyces boulardii, on indigenous microflora and bacterial translocation (BT) in burned rats. METHODS:Twenty-three male albino rats were divided into a sham burn group (group 1, n = 7) exposed to 21 degrees C water, a burn + antibiotic group (gr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2677-1
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:We investigated the expression of cyclooxygenase (Cox-1 and Cox-2) in mammary tissues from patients with breast cancer. METHODS:We used reverse transcriptase-polymerase chain reaction (RT-PCR) and immunohistochemistry. RESULTS:The cancer cells showed very weak expression of Cox-1, but strong expression of imm...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2606-3
更新日期:2003-01-01 00:00:00
abstract::A 35-year-old woman was referred to our hospital for investigation of lower abdominal pain and a feeling of fullness. At her first consultation, a transvaginal ultrasonography (US) revealed a homogeneous cystic mass in the lower abdomen. Over a period of 8 months the US findings of the content of this mass changed fro...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00941657
更新日期:1997-01-01 00:00:00
abstract::A case of intrathoracic retrotracheal goiter in a 40-year-old woman is herein described. A computed tomographic scan, magnetic resonance imaging and endoscopical ultrasonography all confirmed the existence of a retrotracheal encapsulated lesion, which was suspected to be aberrant mediastinal goiter. Radioiodine scinti...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311233
更新日期:1993-01-01 00:00:00
abstract::We herein present the case of a 66-year-old man with both gastric cancer and an infrarenal abdominal aneurysm. The patient's medical history included bladder cancer, chronic renal failure, and ischemic heart disease. We performed a simultaneous endovascular aneurysm repair (EVAR) and total gastrectomy. Following the p...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4322-0
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:Proximal gastrectomy and lymph node dissection are often performed for T1 cancer of the gastric cardia; however, direct esophagogastrostomy is frequently complicated by reflux esophagitis. We describe a simple technique for preventing esophageal reflux and discuss its results. METHODS:This technique is indicat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3265-y
更新日期:2006-01-01 00:00:00
abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170226
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:A thick pancreas has proven to be a conspicuous predictor of pancreatic fistula (PF) following distal pancreatectomy (DP) using staples. Other predictors for this serious surgical complication currently remain obscure. This study sought to identify novel predictors of PF following DP. METHODS:One hundred and t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1495-9
更新日期:2017-10-01 00:00:00
abstract::Upper extremity deep vein thrombosis (UEDVT) is an infrequent but dangerous vascular event, especially for patients undergoing thoracic surgery. However, there is no standard perioperative management to reduce the risk of pulmonary thromboembolism in such patients. We describe how we performed successful esophagectomy...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-008-4030-1
更新日期:2010-03-01 00:00:00
abstract::This report presents a rare case of lung adenocarcinoma accompanied by partial spontaneous regression (SR). A 69-year-old woman with an abnormal shadow on chest X-ray was admitted to the hospital. She was diagnosed to have lung adenocarcinoma with right adrenal metastasis based on a thorough examination. However, a mo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4195-2
更新日期:2010-12-01 00:00:00
abstract::To examine the relationship between the incidence of p53 gene deletion in each nucleus and the clinicopathological features in colorectal cancers, we performed a cytogenetic study using fluorescence in situ hybridization (FISH). FISH was performed on 5 adenomas and 38 colorectal cancers that had been resected surgical...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385778
更新日期:1997-01-01 00:00:00
abstract::Secondary aortoenteric fistulas (AEFs) are a well-known but uncommon cause of gastrointestinal hemorrhage. They usually occur secondary to reconstructive surgery of an abdominal aneurysm. We report six cases of secondary aortoduodenal fistulas, involving patients who, despite presenting with classic "herald bleeding,"...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2970-7
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To classify the shape of the remnant stomach after Billroth-I (B-I) reconstruction and evaluate the relationship between the shape of the remnant stomach and the postoperative clinical outcomes. METHODS:One hundred and ninety-five consecutive patients with gastric cancer underwent distal gastrectomy with B-I r...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1676-1
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:Pinch-off syndrome (POS) is a serious complication encountered during the long-term management of totally implantable access ports (TIAPs). The aim of this study was to examine the effect of ultrasound-guided infraclavicular axillary vein puncture to avoid POS in patients with long-term use of a TIAP. METHODS:...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0309-3
更新日期:2013-07-01 00:00:00
abstract::An extremely rare case of a lymphoepithelial cyst (LEC) of the pancreas is described herein. A pancreatic cystic tumor was initially detected in a 50-year-old man at a medical checkup. On admission, his serum carbohydrate antigen (CA) 19-9 level was 8100 U/ml and a computed tomography scan revealed a well-circumscribe...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070074
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:Acute diffuse peritonitis (ADP) is an important surgical complication associated with high morbidity and mortality; however, the risk factors associated with a poor outcome have remained controversial. This study aimed in collecting integrated data using a web-based national database system to build a risk mode...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1026-x
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To determine if the preoperative administration of tegafur and uracil (UFT) to patients with lung adenocarcinoma could induce apoptosis. METHODS:We conducted a randomized prospective study on 30 patients with lung adenocarcinoma, divided into two groups of 15 patients each. One group received UFT 600 mg/day pr...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00595-004-2814-5
更新日期:2004-01-01 00:00:00
abstract::We report herein the cases of two patients with Crohn's disease complicated by a psoas abscess. The first patient was a 29-year-old man who underwent definitive surgery after acute inflammation had been controlled by nutritional therapy. In the second patient, a 37-year-old man, the abscess required drainage under loc...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311604
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:We assessed the utility of the tumor doubling time (TDT) for predicting the histological type of thymic epithelial tumors. METHODS:We retrospectively reviewed 130 patients with thymic epithelial tumors who underwent computed tomography two or more times before surgery. The patients were divided into low-risk t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01822-9
更新日期:2019-08-01 00:00:00
abstract::Pulmonary complications after hepatectomy occur with relative frequency and are associated with increased morbidity and mortality. Moreover, their prevention is often difficult. We report using prophylactic bilevel positive airway pressure ventilation, initiated just after the operation, for the successful postoperati...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-008-3815-6
更新日期:2009-01-01 00:00:00
abstract::The pancreas is an uncommon site for metastasis from renal cell carcinoma. We report the case of a 70-year-old man in whom a solitary pancreatic metastasis from renal cell carcinoma, found 17 years after nephrectomy, was successfully resected, combined with gastrectomy for early gastric cancer. We also discuss the rel...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300090
更新日期:2003-01-01 00:00:00
abstract::A clinical analysis of small-sized lung cancers with advanced disease was conducted on a total of 58 patients: 34 diagnosed as T1N2, 6 as T1N3, 9 as T1M1, and 9 as T4 due to pleural dissemination. The cumulative 5-year survival rate after surgery for the 34 patients with a T1N2 lesion was 17.4%. Of these 34 patients, ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01676879
更新日期:1994-01-01 00:00:00
abstract::Hepatic steatosis is one of the most common hepatic disorders in developed countries. The epidemic of obesity in developed countries has increased with its attendant complications, including metabolic syndrome and non-alcoholic fatty liver disease. Steatotic livers are particularly vulnerable to ischemia/reperfusion i...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0736-9
更新日期:2014-09-01 00:00:00
abstract::Dehiscence of the pancreaticoenterostomy is one of the most feared, yet common, postoperative complications following pancreaticoduodenectomy (PD). We report herein a new technique we developed for performing continuous intraabdominal suction drainage (CISD) following PD. This method of CISD involves positioning an 18...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/BF00311482
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:The aim of this study is to evaluate the association between the participation of board-certified surgeons in gastroenterological surgery (BCS-Gs) and the surgical outcomes of gastroenterological surgery. METHODS:Data from the National Clinical Database on patients who underwent eight major gastroenterological...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-016-1422-5
更新日期:2017-05-01 00:00:00