Investigation Of The Effect Of Single Port Thoracoscopic Spelanchnectomy In Controlling The Pain In Patients With Chronic Pancreatid
reza bagheri, Sr.1, Alireza Tavassoli2, Reza Afghani3, Negar Morovatdar4.
1Lung Diseases Research Center, Emam Reza hospital, Faculty of medicine, Ma, mashhad, Iran, Islamic Republic of, 2Endoscopy minimal invasive Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, mashhad, Iran, Islamic Republic of, 3department of general surgery, 5th of Azar Hospital, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran, Gorgan, Iran, Islamic Republic of, 4Community Medicine, Imam Reza Clinical Research Unit, Mashhad University of Medical Sciences, mashhad, Iran, Islamic Republic of.
background Chronic pancreatitis is defined as a persistent pancreatic inflammatory disease. In chronic pancreatitis, recurrent episodes of inflammation lead to replacement of pancreatic parenchyma with fibrotic connective tissue. Chronic pancreatitis’ pain may initially mimic acute pancreatitis. Pain in chronic pancreatitis is severe, frequent, long-terming and has a major impact on the quality of life and social functioning of patients. chronic pancreatitis treatments are- Endoscopy and surgery, denervation of splanchnic nerve, Thoracoscopic Splanchnectomy (TS) and VATS. Considering the advantages observed in the Single Port method, this study attempts to describe post-treatment conditions of patients who have benefited from this therapeutic approach. Methods and materials: In this study, 10 patients of chronic pancreatitis with severe resistant pain became candidate to enter the survey. All patients were evaluated for age, gender, preoperative pain scale, surgery complication, and postoperative pain scale (2weeks after surgery). The standard pain scale assessment was VATS pain score. The statistical evaluation of the response to treatment in pain scale was in the paired sample t-test. After completing the operation, the chest tube No. 24 was planted and the patient was discharged 48 hours after removing the chest tube. Results: 10 patients enrolled in the study, 9 male and 1 female with mean age of the patients was 53.3 ± 0.8. The duration of severe pain in patients before the onset of treatment varied between 6-20 months and was 13 months on average. The scale of pain was determined in the patient between 3-5 days before the operation and re-graded 2 weeks after surgical procedure. Pre and post operative pain scores showed a significant decrease in the severity of pain before and after surgery. (p-value <0.004) Conclusion: Single port technique is recommended as a safe way to reduce pain in patients with chronic pancreatitis.
Back to 2018 Thoracic Track