1999
DOI: 10.1053/ejso.1999.0670
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Intraoperative celiac plexus block in the surgical palliation for unresectable pancreatic cancer

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Cited by 17 publications
(10 citation statements)
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“…To effect ICPB, neurolytic agents were injected, under direct vision, on each side of the aorta at the level of the celiac axis, as shown in Fig. 1 20. Lidocaine hydrochloride 1% (Xylocaine; 10 ml through each needle) was then injected after checking by aspiration that the needles were neither intravascular nor subarachnoid in placement.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…To effect ICPB, neurolytic agents were injected, under direct vision, on each side of the aorta at the level of the celiac axis, as shown in Fig. 1 20. Lidocaine hydrochloride 1% (Xylocaine; 10 ml through each needle) was then injected after checking by aspiration that the needles were neither intravascular nor subarachnoid in placement.…”
Section: Methodsmentioning
confidence: 99%
“…1. 20 Lidocaine hydrochloride 1% (Xylocaine; 10 ml through each needle) was then injected after checking by aspiration that the needles were neither intravascular nor subarachnoid in placement. Having assessed safety with this test, absolute alcohol (10 ml) was then also injected through each needle.…”
Section: Introductionmentioning
confidence: 99%
“…Neurolytic celiac plexus blockade (NCPB) may also be applied intraoperatively, on initial surgical exploration, with 50% ethanol or 6% phenol under direct visualization [31]. A double-blind randomized controlled trial showed that intraoperative chemical splanchnicectomy by injection of 20 mL of 50% alcohol on each side of the aorta at the level of the celiac axis versus same amount of saline placebo, significantly reduced the mean pain-score for surviving patients, up to six months of follow-up [32].…”
Section: Pain Managementmentioning
confidence: 99%
“…Celiac plexus block is considered the most effective neurolytic block and the first line therapy for pancreatic cancer pain, controlling 89% of cases in the first two weeks, and maintaining adequate analgesia in 70 to 90% of patients in the first three months 3,4 . However, the risk of paraplegia by possible medullary infarction, although rare, limits its early indication and explains its more common use in advanced cancer stages 5,6 , as in our case report.…”
Section: Discussionmentioning
confidence: 99%