| Palliative treatment of malignant pleural effusions. | |
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MedLine Citation:
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PMID: 20306906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D Horn; D Dequanter; Ph Lothaire |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 110 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-03-23 Completed Date: 2010-05-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 32-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, CHU Charleroi, Montigny le Tilleul, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Belgium
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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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