Splanchnicectomy using the Dubois transhiatal approach. Current technical modifications
Carabalona, B.; Sastre, B.; Crespy, B.; Michotey, G.
Journal de Chirurgie 123(3): 204-206
1986
ISSN/ISBN: 0021-7697 PMID: 3722288 Document Number: 285383
Technical modifications were applied during 47 splanchnicectomies using Dubois' trans-hiatal approach, with major simplification of the method, mainly by the absence of freeing of the abdominal esophagus. The approach to the right and left greater splanchnic nerves involved displacement of the esophagus to the left, avoiding the need to perform a gastro-esophageal antireflux procedure at the end of the operation. Furthermore, the most effective plane for pleural detachment is situated in fact in contact with the aortic adventitia. The simplicity and safety of this modified surgical method makes it an indication of choice for the treatment of intractable supramesocolic pain.