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A celiac plexus block is a simple treatment which relieves pain, but the procedure demands a certain degree of proficiency and the duration of the effects obtained can be rather limited. Transhiatal bilateral splanchnicectomy achieves a certain denervation of splanchnic nerves, but it requires a laparotomy. Unilateral thoracoscopic splanchnicectomy is a minimally invasive procedure to cause definite denervation. Bilateral thoracoscopic splanchnicectomy is recommended for unsatisfactory cases or recurrent pain occurring after the initial unilateral splanchnicectomy. It is important to select the most suitable treatment depending on patients\u2019 actual medical state and the predicted outcomes.<\/jats:p>","DOI":"10.1155\/2014\/941726","type":"journal-article","created":{"date-parts":[[2014,4,27]],"date-time":"2014-04-27T21:04:51Z","timestamp":1398632691000},"page":"1-8","source":"Crossref","is-referenced-by-count":10,"title":["Splanchnicectomy for Pancreatic Cancer Pain"],"prefix":"10.1155","volume":"2014","author":[{"given":"Toshiro","family":"Masuda","sequence":"first","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Kuramoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Shimada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Ikeshima","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichiro","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto 860-8556, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"3, supplement","key":"1","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1002\/(SICI)1097-0142(19960801)78:3<639::AID-CNCR45>3.0.CO;2-X","volume":"78","year":"1996","journal-title":"Cancer"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(97)90264-6"},{"issue":"5","key":"3","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/00000658-199305010-00004","volume":"217","year":"1993","journal-title":"Annals of Surgery"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1159\/000199441"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9730-x"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(01)00297-4"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.3390\/cancers3010636"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1159\/000323513"},{"key":"9","volume":"3","year":"2011","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3181bb854d"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12176"},{"issue":"2","key":"12","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1001\/archsurg.1950.01250010251003","volume":"60","year":"1950","journal-title":"Archives of Surgery"},{"issue":"4","key":"13","doi-asserted-by":"crossref","first-page":"185","DOI":"10.3949\/ccjm.41.4.185","volume":"41","year":"1974","journal-title":"Cleveland Clinic Quarterly"},{"issue":"3","key":"14","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1002\/bjs.1800770321","volume":"77","year":"1990","journal-title":"British Journal of Surgery"},{"issue":"8","key":"15","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1002\/bjs.1800800842","volume":"80","year":"1993","journal-title":"British Journal of Surgery"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6837-7"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3193-z"},{"issue":"6","key":"18","first-page":"640","volume":"111","year":"1992","journal-title":"Surgery"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050555"},{"issue":"1","key":"29","first-page":"44","volume":"39","year":"1994","journal-title":"Journal of the Royal College of Surgeons of Edinburgh"},{"issue":"572","key":"28","first-page":"59","year":"1994","journal-title":"European Journal of Surgery. 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