ReviewJournal of thoracic disease2024
Post-thoracotomy pain syndrome in the era of minimally invasive thoracic surgery.
Review in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Postoperative pain trajectories and associated factors in patients undergoing lung cancer surgery: a scoping review.Frontiers in psychology · 2026Pooled it
- Behavioral speech therapy intervention can improve the postoperative pain and performance status of lung cancer patients undergoing thoracoscopic surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Trial
- The Effect of Text Messaging on the Postoperative Pain Experience in Pediatric Patients Undergoing Thoracic Surgery: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Optimizing post-thoracotomy pain management: comparing erector spinae vs. paravertebral block in thoracotomy patients: a prospective randomized study.BMC anesthesiology · 2025Trial
- Pain management strategies following thoracic surgery: best practices and innovations.Journal of thoracic disease · 2026Review
- Article
- Opioid-sparing and opioid-free anaesthesia: concepts, rationale, evidence, and practical implications.Anaesthesiology intensive therapy · 2026Review
- Multicenter, real-world patient registry outcomes from intercostal nerve cryoablation during robotic-assisted thoracic surgical procedures.Journal of thoracic disease · 2026Article
- Endoscope-assisted prone lateral retropleural 360° reconstruction of thoracic pathological fracture in metastatic melanoma: a case report and technical note.Journal of spine surgery (Hong Kong) · 2026Article
- A comparative study of surgical repair of large atrial septal defects in adults using inferior mini-sternotomy and right axillary vertical mini-incision.Journal of cardiothoracic surgery · 2026Article
- Continuous serratus-intercostal plane block versus intercostal cryoanalgesia for postoperative pain after minimally invasive cardiac surgery: a prospective comparative observational study.BMC anesthesiology · 2026Observational
- Optimizing Recovery After Thoracotomy: Evidence-Based Non-Opioid and Multimodal Analgesia - A Narrative Review.Current pain and headache reports · 2026Review
- Less pain and earlier recovery after extra-thoracic single-port robotic lung resection: a propensity-matched comparison.Journal of robotic surgery · 2026Article
- Unlocking patient insights: a prospective study on patient reported outcome measures in thoracic surgery.Journal of cardiothoracic surgery · 2026Observational
- Investigation of the Frequency of the Development of Chronic Pain After Thoracotomy.Journal of clinical medicine · 2026Article
- Pain Management Strategies for Chronic Pain after Thoracic Surgery: From Pharmacological Therapy to Regenerative Approaches.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Review
- Perioperative EGFR-Targeted Therapy in Resectable EGFR-Mutated NSCLC: A Narrative Review from Drug Design to Pain-Informed MRD-Guided Care.Drug design, development and therapy · 2026Review
- Association between modified same-intercostal chest tube placement and acute postoperative pain after uniportal VATS lobectomy: an overlap weighted retrospective cohort study.Frontiers in oncology · 2026Article
- Patterns and Associated Factors of Breakthrough Pain in Lung Cancer: Insights From a Cross-Sectional Study With Prospective Enrollment.Pain research & management · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Post-thoracotomy pain syndrome (PTPS) is defined as pain around the wound that persists for more than 2 months after surgery. Persistent pain not only increases the use of analgesics and their side effects but also causes many social problems, such as decreased activities of daily living, decreased quality of life, and increased medical costs. In particular, thoracic surgery is associated with a higher frequency and severity of chronic pain than is surgery for other diseases. The basic principles of postoperative pain treatment, not limited to thoracic surgery, are multimodal analgesic methods (using combinations of several drugs to minimize opioid use) and around-the-clock treatment (administering analgesics at a fixed time and in sufficient doses). Thoracic surgeons must always be aware of the following three points: acute severe postoperative pain is a major risk factor for chronic pain; neuropathic pain due to intercostal nerve injury is a major cause of postoperative pain after thoracic surgery, and its presence must not be overlooked from the acute stage; and analgesics must be administered in sufficient quantities according to dosage and volume. The frequency of PTPS has decreased compared with that in the standard thoracotomy era because of the development of analgesia and the widespread use of minimally invasive procedures such as thoracoscopic surgery and robot-assisted surgery. However, no consistently effective prevention or treatment strategies for PTPS have yet been established. In this review, we focus on PTPS in the era of minimally invasive surgery and discuss the role of thoracic surgeons in its management.
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