1. Bilateral Thoracoscopic Splanchnotomy to Alleviate Pain in Chronic Pancreatic Disease 
David C. Bosanquet, MD, Christopher R.M. Wilcox, MBBCh, Ashraf Rasheed, FRCS 
The Annals of Thoracic Surgery 
Volume 101, Issue 3, Pages e91-e93 (March 2016)
DOI: /j.athoracsur
Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
(A) Patient placed prone with arms abducted and extended. (B) Intraoperative image demonstrating port site placement.
The Annals of Thoracic Surgery  , e91-e93DOI: ( /j.athoracsur )
Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Anatomy of the splanchnic nerves on the left (A) and right (B) mediastinum. (SN = splanchnic nerve.)
The Annals of Thoracic Surgery  , e91-e93DOI: ( /j.athoracsur )
Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Intraoperative images displaying the creation of a pleurotomy (A) and “hooking” and division (B, C) of the splanchnic nerves away from vascular structures by the use of diathermy. The nerve ends retract (D), making neurectomy unnecessary.
The Annals of Thoracic Surgery  , e91-e93DOI: ( /j.athoracsur )
Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions