Splanchnic nerve neurolysis via the transdiscal approach under fluoroscopic guidance: a retrospective study

Zhenhua Cai; Xiaolin Zhou; Mengli Wang; Jiyu Kang; Mingshuo Zhang; Huacheng Zhou

doi:10.3344/kjp.2022.35.2.202

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자료유형: 학술저널

저자정보: Zhenhua Cai (The Fourth Affiliated Hospital of Harbin Medical University) Xiaolin Zhou (The Fourth Affiliated Hospital of Harbin Medical University) Mengli Wang (The Fourth Affiliated Hospital of Harbin Medical University) Jiyu Kang (The Fourth Affiliated Hospital of Harbin Medical University) Mingshuo Zhang (The Fourth Affiliated Hospital of Harbin Medical University) Huacheng Zhou (The Fourth Affiliated Hospital of Harbin Medical University)

저널정보: 대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제35권 제2호

발행연도: 2022.4

수록면: 202 - 208 (7page)

DOI: 10.3344/kjp.2022.35.2.202

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Background: Neurolytic celiac plexus block (NCPB) is a typical treatment for severe epigastric cancer pain, but the therapeutic effect is often affected by the variation of local anatomical structures induced by the tumor. Greater and lesser splanchnic nerve neurolysis (SNN) had similar effects to the NCPB, and was recently performed with a paravertebral approach under the image guidance, or with the transdiscal approach under the guidance of computed tomography. This study observed the feasibility and safety of SNN via a transdiscal approach under fluoroscopic guidance. Methods: The follow-up records of 34 patients with epigastric cancer pain who underwent the splanchnic nerve block via the T11-12 transdiscal approach under fluoroscopic guidance were investigated retrospectively. The numerical rating scale (NRS), the patient satisfaction scale (PSS) and quality of life (QOL) of the patient, the dose of morphine consumed, and the occurrence and severity of adverse events were recorded preoperatively and 1 day, 1 week, 1 month, and 2 months after surgery. Results: Compared with the preoperative scores, the NRS scores and daily morphine consumption decreased and the QOL and PSS scores increased at each postoperative time point (P < 0.001). No patients experienced serious complications. Conclusions: SNN via the transdiscal approach under flouroscopic guidance was an effective, safe, and easy operation for epigastric cancer pain, with fewer complications.

#Abdominal Pain #Alcohols #Autonomic Nerve Block #Cancer Pain #Celiac Plexus #Neoplasms #Nerve Block #Neurolysis #Splanchnic Nerves.

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