title: [Surgical pain control and quality of life improvement in patients with nonoperable supramesocolic neoplasm by using thoracoscopic splanchicectomy (TSS)].
abstract: In patients, suffering from malignancies, pain is still predominant symptom. The control of carcinogenic pain has to be led with all known sources and methods: medications, surgical methods and interventional methods. Since august 2004 in a period of 34 months there have been examined 50 patients with abdominal viscera malignancies, located in between transversal colon and diaphragm, i.e having the same sympathetic innervations and suffering from pain, located in the upper abdomen, due to the illness. There have been examined the influence of pain level and quality of life improvement after TSS of the investigated group. TSS is easy to perform surgical method with good possibilities in visceral pain control in supramesocolic neoplasmas, with insignificant intra and postoperative complications. TSS improves the quality of life of patients with nonoperable supramesocolic neoplasms.
authors.forename: I
authors.initials: I
authors.lastname: Plachkov
authors.forename: D
authors.initials: D
authors.lastname: Kostov
authors.forename: V
authors.initials: V
authors.lastname: Ivanov
mesh_terms: D000008:Abdominal Neoplasms / Q000150:complications* / Q000601:surgery; D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery*; D017763:Autonomic Denervation / Q000379:methods*; D006801:Humans; D010147:Pain Measurement; D011788:Quality of Life; D013153:Splanchnic Nerves / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted