Review article
https://doi.org/10.20471/acc.2023.62.s4.11
Minimally-Invasive Pain Management Techniques in Cancer Pain
Lidija Fumić Dunkić
; Division of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; The Catholic University of Croatia, School of Medicine, Zagreb, Croatia
*
Antonia Kustura
; Division of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Tihana Magdić Turković
; Division of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; The Catholic University of Croatia, School of Medicine, Zagreb, Croatia
* Corresponding author.
Abstract
The indication for the application of invasive procedures in the therapy of cancer pain
is lack of response to opioids or patients who have side effects to opioid therapy that significantly impair
the quality of life. Invasive treatment of cancer pain should not be the last resort but should be an integrative
part in the treatment of cancer pain in combination with opioid therapy as a part of multimodal
therapy. For visceral pain, interventional techniques represent a minimally invasive and reliable option for
many diagnoses where active treatment options have been exhausted. There is evidence for the effectiveness
of the celiac plexus block in pain treatment for pancreatic cancer and some upper abdominal cancers.
According to research, the hypogastric neurolytic block is an option for pelvic visceral pain treatment and
has proven to be more effective than oral opioid pain treatment. Recently, progress has been made with
intrathecal and epidural analgesia as safe and effective therapeutic options with a positive risk-benefit ratio
for cancer pain treatment over a long period of time and in home settings. Invasive procedures are a safe
and effective option for cancer pain therapy, thus significantly affecting the quality of life.
Keywords
cancer pain; intrathecal analgesia; epidural analgesia; celiac plexus block; hypogastric plexus block
Hrčak ID:
316194
URI
Publication date:
1.11.2023.
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