Open thoracic cordotomy for intractable cancer pain: a how I do it
Background Some cancers of the lower extremity involve nerves and plexuses and can produce extreme drug-resistant noceptive pain. In these cases, open thoracic cordotomy can be proposed. Method This procedure involves disruption of the spinothalamic tract, which sustains nociceptive pathways. After...
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| Veröffentlicht in: | Acta neurochirurgica 2023-08, Vol.165 (8), p.2197-2200 |
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| container_title | Acta neurochirurgica |
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| creator | Leclerc, Arthur Di Palma, Camille Emery, Evelyne |
| description | Background
Some cancers of the lower extremity involve nerves and plexuses and can produce extreme drug-resistant noceptive pain. In these cases, open thoracic cordotomy can be proposed.
Method
This procedure involves disruption of the spinothalamic tract, which sustains nociceptive pathways. After placement in the prone position, selection of the side to be operated on (contralateral to the pain), and dura exposure, microsurgery is used to section the anterolateral spinal cord quadrant previously exposed by gently pulling on the dentate ligament.
Conclusion
Open thoracic cordotomy is a moderate invasive, safe, and effective option for the management of drug-resistant unilateral lower extremity cancer pain in well-selected patients. |
| doi_str_mv | 10.1007/s00701-023-05696-2 |
| format | Article |
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Some cancers of the lower extremity involve nerves and plexuses and can produce extreme drug-resistant noceptive pain. In these cases, open thoracic cordotomy can be proposed.
Method
This procedure involves disruption of the spinothalamic tract, which sustains nociceptive pathways. After placement in the prone position, selection of the side to be operated on (contralateral to the pain), and dura exposure, microsurgery is used to section the anterolateral spinal cord quadrant previously exposed by gently pulling on the dentate ligament.
Conclusion
Open thoracic cordotomy is a moderate invasive, safe, and effective option for the management of drug-resistant unilateral lower extremity cancer pain in well-selected patients.</description><identifier>ISSN: 0942-0940</identifier><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-023-05696-2</identifier><identifier>PMID: 37392278</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Cancer ; Cancer Pain - surgery ; Cordotomy - methods ; Drug dosages ; Drug resistance ; Functional Neurosurgery – Pain ; General anesthesia ; How I Do it ; Humans ; Interventional Radiology ; Life Sciences ; Ligaments ; Medicine ; Medicine & Public Health ; Microsurgery ; Minimally Invasive Surgery ; Morphine ; Neoplasms ; Nerves ; Neurology ; Neuroradiology ; Neurosurgery ; Pain ; Pain perception ; Pain, Intractable - surgery ; Patients ; Spinal cord ; Spinal Cord - surgery ; Spinothalamic tract ; Surgery ; Surgical Orthopedics ; Thorax</subject><ispartof>Acta neurochirurgica, 2023-08, Vol.165 (8), p.2197-2200</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c360t-c2bf423b180962dbec4e216555c22f412ab6cfb08f3880edbb6d9fa29563648c3</cites><orcidid>0000-0002-7373-1109</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-023-05696-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-023-05696-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37392278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://normandie-univ.hal.science/hal-04184312$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Leclerc, Arthur</creatorcontrib><creatorcontrib>Di Palma, Camille</creatorcontrib><creatorcontrib>Emery, Evelyne</creatorcontrib><title>Open thoracic cordotomy for intractable cancer pain: a how I do it</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Some cancers of the lower extremity involve nerves and plexuses and can produce extreme drug-resistant noceptive pain. In these cases, open thoracic cordotomy can be proposed.
Method
This procedure involves disruption of the spinothalamic tract, which sustains nociceptive pathways. After placement in the prone position, selection of the side to be operated on (contralateral to the pain), and dura exposure, microsurgery is used to section the anterolateral spinal cord quadrant previously exposed by gently pulling on the dentate ligament.
Conclusion
Open thoracic cordotomy is a moderate invasive, safe, and effective option for the management of drug-resistant unilateral lower extremity cancer pain in well-selected patients.</description><subject>Cancer</subject><subject>Cancer Pain - surgery</subject><subject>Cordotomy - methods</subject><subject>Drug dosages</subject><subject>Drug resistance</subject><subject>Functional Neurosurgery – Pain</subject><subject>General anesthesia</subject><subject>How I Do it</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Life Sciences</subject><subject>Ligaments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microsurgery</subject><subject>Minimally Invasive Surgery</subject><subject>Morphine</subject><subject>Neoplasms</subject><subject>Nerves</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Pain</subject><subject>Pain perception</subject><subject>Pain, Intractable - surgery</subject><subject>Patients</subject><subject>Spinal cord</subject><subject>Spinal Cord - surgery</subject><subject>Spinothalamic tract</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Thorax</subject><issn>0942-0940</issn><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1PxCAQhonR-LH6BzwYEi96qA4Dpa03NX4lm3jRMwFK3ZpuWaGr8d-L1q948DKQmWdemHkJ2WVwxACK45gCsAyQZ5DLSma4QjahEpilAKu_7htkK8ZHAIaF4Otkgxe8QizKTXJ2u3A9HWY-aNtaan2o_eDnr7Txgbb9kNKDNp2jVvfWBbrQbX9CNZ35F3pDa0_bYZusNbqLbufznJD7y4u78-tsent1c346zSyXMGQWTSOQG1ZCJbE2zgqHTOZ5bhEbwVAbaRsDZcPLElxtjKyrRmOVSy5FafmEHI66M92pRWjnOrwqr1t1fTpV7zkQrBSc4TNL7MHILoJ_Wro4qHkbres63Tu_jApLjnnBIC1iQvb_oI9-Gfo0SaJEkedFxatE4UjZ4GMMrvn-AQP17oYa3VDJDfXhhsLUtPcpvTRzV3-3fK0_AXwEYir1Dy78vP2P7BtAU5HG</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Leclerc, Arthur</creator><creator>Di Palma, Camille</creator><creator>Emery, Evelyne</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-7373-1109</orcidid></search><sort><creationdate>20230801</creationdate><title>Open thoracic cordotomy for intractable cancer pain: a how I do it</title><author>Leclerc, Arthur ; 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Some cancers of the lower extremity involve nerves and plexuses and can produce extreme drug-resistant noceptive pain. In these cases, open thoracic cordotomy can be proposed.
Method
This procedure involves disruption of the spinothalamic tract, which sustains nociceptive pathways. After placement in the prone position, selection of the side to be operated on (contralateral to the pain), and dura exposure, microsurgery is used to section the anterolateral spinal cord quadrant previously exposed by gently pulling on the dentate ligament.
Conclusion
Open thoracic cordotomy is a moderate invasive, safe, and effective option for the management of drug-resistant unilateral lower extremity cancer pain in well-selected patients.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>37392278</pmid><doi>10.1007/s00701-023-05696-2</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-7373-1109</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cancer Cancer Pain - surgery Cordotomy - methods Drug dosages Drug resistance Functional Neurosurgery – Pain General anesthesia How I Do it Humans Interventional Radiology Life Sciences Ligaments Medicine Medicine & Public Health Microsurgery Minimally Invasive Surgery Morphine Neoplasms Nerves Neurology Neuroradiology Neurosurgery Pain Pain perception Pain, Intractable - surgery Patients Spinal cord Spinal Cord - surgery Spinothalamic tract Surgery Surgical Orthopedics Thorax |
| title | Open thoracic cordotomy for intractable cancer pain: a how I do it |
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