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Video-assisted thoracoscopic pleurodesis for malignant pleural effusions
1Thoracic Surgery Department, Vas County Markusovszky Hospital, Szombathely, Hungary.
Acta Chirurgica Hungarica
|December 22, 1999
Summary
Thoracoscopic pleurodesis (TP) is an efficient and safe treatment for malignant pleural effusions (MPE). This procedure, particularly talc poudrage, shows no late recurrence in selected patients.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Oncology
Background:
- Malignant pleural effusions (MPE) are a common complication of cancer.
- Effective management of MPE is crucial for patient quality of life.
Purpose of the Study:
- To evaluate the efficacy and safety of thoracoscopic pleurodesis (TP) for MPE.
- To assess long-term outcomes of TP in a patient cohort.
Main Methods:
- Retrospective analysis of 75 patients with MPE treated with TP.
- Procedures included talc insufflation with pleural abrasion or talc poudrage alone.
- Follow-up ranged from 2.5 to 40 months.
Main Results:
- No severe intraoperative or postoperative complications were observed.
- The 30-day mortality rate was 1.3%.
- No cases of late recurrence were reported.
Conclusions:
- Videothoracoscopic pleurodesis, specifically talc poudrage, is a simple and effective treatment for MPE.
- TP is a suitable alternative for selected patients with malignant pleural effusions.