title: [Semilunar ganglionectomy and the pain syndrome of pancreatic origin].
abstract: Personal seven-year experience (1984-1990) with the application of semilunar ganglionectomy in 25 patients with basic indication for pancreatic cancer (20 patients) and chronic pancreatitis (5 patients). Attention is called on the basic points in the original technique of Legé and the authors' own modifications of this technique. The indications and contraindications for performing the operative intervention were determined. The early postoperative results in 84 per cent of the cases (regardless of the type of diseases) were excellent as regards the pain; in the remote postoperative period the results were poor. The causes of the poor results of semilunar ganglionectomy are analyzed. The most common cause was the generalization of the malignant processes in the pancreas and the faulty performance of the intervention. The major importance of this operation in the treatment of chronic indurative pancreatitis with narrow pancreatic canals and its value when combined with other derivation methods in the operative treatment of pancreatic surgical diseases are pointed out.
authors.forename: R
authors.initials: R
authors.lastname: Gaĭdarski
authors.forename: V
authors.initials: V
authors.lastname: Dimitrova
mesh_terms: D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D010146:Pain / Q000209:etiology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications / Q000601:surgery*; D012074:Remission Induction; D013577:Syndrome; D012668:Trigeminal Ganglion / Q000601:surgery*
vernacular_title: Semilunarnata ganglionektomiia i bolkoviiat sindrom ot pankreatichen proizkhod.