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Ann Thorac Surg 2002;73:1290-1292
© 2002 The Society of Thoracic Surgeons
a Department of Thoracic Surgery, Hôpital Européen Georges Pompidou, Paris, France
Accepted for publication August 6, 2001.
* Address reprint requests to Dr Lang-Lazdunski, Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France
e-mail: loic.lang{at}wanadoo.fr
Splanchnicectomy has been known for years as a treatment for refractory pain in patients with pancreatic cancer or chronic pancreatitis. We report herein the performance of a videothoracoscopic left splanchnicectomy in a patient with a previous right pneumonectomy who suffered intractable pain from an irresectable left adrenal metastasis associated with metastatic retroperitoneal lymph nodes. Immediate pain relief was obtained, but abdominal pain of middle intensity recurred 6 weeks later. Although infrequently required, this procedure might be of value in some patients with refractory pain.
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