J Korean Radiol Soc.  1997 Jul;37(1):115-118.

CT Guided Celiac Plexus and Splanchnic Nerve Neurolysis: The Modified Anterior Approach

• Lee JM
• Lee MS
• Ym SH
• Lee JH

Abstract

Since it was first described by Kappis, celiac plexus neurolysis (CPN) has been performed under fluoroscopic guidance by anesthetists or surgeons for the relief of intractable pain caused by upper abdominal malignancy. Recently, however, several groups have reported a computed tomography (CT)-guided technique that increased the safety of the blocking procedure and improved its results. The authors present a new technique CT-guided celiac plexus and splanchic nerve block, to be used simultaneously with a modified anterior approach. Using CT to guide needle tip placement, an anterior approach that permitted direct neurolysis of the celiac ganglia and splanchnic nerve was developed.

Keyword

Anesthesia; Nerves, CT; Nerves system, effects of drugs on

MeSH Terms

Anesthesia
Celiac Plexus*
Ganglia, Sympathetic
Needles
Nerve Block
Pain, Intractable
Splanchnic Nerves*