| Video-assisted thoracoscopic (VATS) pleurodesis for malignant effusion: an Australian teaching hospital's experience. | |
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MedLine Citation:
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PMID: 16352262 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is commonly employed to achieve pleurodesis in patients suffering malignant pleural effusion (MPE). AIMS.: To evaluate the utility and outcome of VATS pleurodesis in management of MPE. METHODS: Two hundred and two consecutive VATS pleurodesis for MPE were evaluated. Data was derived from a prospectively maintained database and hospital records. Pleurodesis was deemed unsuccessful if a significant effusion occurred within 30 days of surgery. RESULTS: VATS pleurodesis was successful in 88% of patients (failure 12%) while recurrence of effusion occurred in 18%. Post-operative air space, air leak, empyema and prolonged intercostal catheter drainage (>14 days) were all significantly associated with a failed procedure. Mean length of stay was 10.4 days and 42% of patients were discharged within 7 days of surgery. Morbidity was 20% with no operative deaths and median survival was 94 days. Inpatient mortality was 5%. High ASA (>or=4) was significantly associated with increased risk of inpatient death (p<0.001) and poorer long-term survival (43 days versus 133 days, p=0.05). CONCLUSIONS: VATS pleurodesis offers reasonable palliation of MPE with low morbidity and rapid recovery. Patients with an ASA score of >or=4 have a poor overall outcome and warrant less invasive palliative measures. |
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Authors:
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Dean Trotter; Ahmad Aly; Lyndon Siu; Simon Knight |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Heart, lung & circulation Volume: 14 ISSN: 1443-9506 ISO Abbreviation: Heart Lung Circ Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-12-14 Completed Date: 2006-01-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963739 Medline TA: Heart Lung Circ Country: Australia |
Other Details:
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Languages: eng Pagination: 93-7 Citation Subset: IM |
Affiliation:
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Austin Hospital, Melbourne, Australia. deantrotter@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Hospitals, Teaching Humans Length of Stay Male Middle Aged Pleural Effusion, Malignant / therapy* Pleurodesis / methods Prospective Studies Recurrence Retrospective Studies Thoracic Surgery, Video-Assisted* Treatment Outcome Victoria |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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