Document Detail


Continuing experience with palliative chemical splanchnicectomy.
MedLine Citation:
PMID:  76467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-one patients underwent open phenol splanchnicectomy for control of pain at the time of initial laparotomy for what was thought to be unresectable pancreatic carcinoma. Twenty-three patients underwent concomitant biliary and/or intestinal bypass procedures. In no patient was laparotomy performed only for the purpose of performing splanchnicectomy. The operative mortality was 15%. In no patient could the addition of splanchnicectomy be implicated as the cause of death. Eighty-eight per cent of patients experienced relief of pain postoperatively. The mean duration of pain control was 4.3 months. The mean postoperative survival was five months. No postoperative complications could be attributed to the addition of splanchnicectomy. Open phenol splanchnicectomy is a highly successful and safe ancillary procedure for control of pain and is recommended at the time of initial laparotomy in patients found to have advanced intra-abdominal neoplasm.
Authors:
D P Flanigan; R O Kraft
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  113     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-05-24     Completed Date:  1978-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  509-11     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Neoplasms / therapy*
Adult
Animals
Dogs
Female
Humans
Male
Methods
Middle Aged
Palliative Care / methods*
Pancreatic Neoplasms / therapy*
Phenols / therapeutic use*
Splanchnic Nerves / drug effects*
Chemical
Reg. No./Substance:
0/Phenols

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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