Abstract | BASIC PROBLEM: Definitive palliation of malignant pleural effusion demands a therapeutic procedure that is efficient with a low risk of complication and death. This study was undertaken to evaluate the outcome of thoracoscopic talcum pleurodesis ( TTP), with insertion of pleuro-peritoneal shunt (PPS) for permanent drainage, if indicated. PATIENTS AND METHODS: The results of treating malignant pleural effusions were analysed retrospectively in 36 patients (15 men, 21 women; mean age 65 [48-89] years) who had undergone 37 video-assisted TTP and 6 PPS. RESULTS:
TTP achieved significant improvement of dyspnoea in 89% of patients and PPS succeeded in providing permanent internal drainage even in cases of adherent pleura. CONCLUSION:
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Authors | A S Böhle, R Kurdow, P Dohrmann, D Henne-Bruns |
Journal | Deutsche medizinische Wochenschrift (1946)
(Dtsch Med Wochenschr)
Vol. 124
Issue 12
Pg. 341-5
(Mar 26 1999)
ISSN: 0012-0472 [Print] Germany |
Vernacular Title | Die effektive Behandlung des malignen Pleuraergusses. Thorakoskopische Talkumpleurodese--pleuroperitonealer Shunt. |
PMID | 10214366
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Anastomosis, Surgical
(adverse effects, methods)
- Drainage
(methods)
- Endoscopy
(adverse effects)
- Female
- Humans
- Intraoperative Complications
(etiology)
- Male
- Middle Aged
- Palliative Care
- Pleural Effusion, Malignant
(therapy)
- Pleurodesis
(methods)
- Pneumothorax
(etiology)
- Retrospective Studies
- Talc
(administration & dosage)
- Thoracoscopy
- Treatment Outcome
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