Document Detail


Palliative treatment of malignant pleural effusions.
MedLine Citation:
PMID:  20306906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of the current study was to analyse the results of video assisted thoracoscopic (VATS) talc pleurodesis for malignant pleural effusion. MATERIAL AND METHODS: From January 2002 to December 2004, 50 VATS procedures were performed under general anaesthesia on 48 patients for malignant pleural effusion. There were 45 women and 3 men with a median age of 57 years. The most common primary neoplasms were breast cancer (68%), ovarian cancer (6%), colon cancer (4%) and lung cancer (4%). Five patients had other types of tumour, including malignant lymphoma, fibrosarcoma, renal cell carcinoma, malignant pleural mesothelioma, acute myeloblastic leukaemia. RESULTS: The average duration of the operation was 46 min (range 20-120). Median duration of postoperative drainage was 5 days (range 2-13) and postoperative hospitalisation was 8 days (range 2-13). Four patients had postoperative complications. Thirty-day mortality was 1/48. One patient died from myocardial infarction. Three postoperative complications were noted (one non-septic febrile episode, one bilateral pneumopathy and one transitory hypoxaemia, treated by non invasive ventilation). Patients were relieved from dyspnoea in 34/48 of the cases (71%). Median survival was 6 months (ranging from 14 days to 2 years). CONCLUSIONS: Early talc pleurodesis via VATS is a safe technique for successfully treating pleural effusion and preventing recurrence in palliative patients with a symptomatic malignant pleural effusion.
Authors:
D Horn; D Dequanter; Ph Lothaire
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  110     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-23     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  32-4     Citation Subset:  IM    
Affiliation:
Department of Surgery, CHU Charleroi, Montigny le Tilleul, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Belgium / epidemiology
Female
Humans
Incidence
Male
Middle Aged
Neoplasm Recurrence, Local / epidemiology
Palliative Care / methods*
Pleural Effusion, Malignant / mortality,  surgery*
Retrospective Studies
Survival Rate / trends
Thoracic Surgery, Video-Assisted / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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