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Description
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Related Experiment Video

Updated: Jul 4, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Published on: November 10, 2023

[Surgical therapy for malignant pleural effusions].

C Ludwig¹, E Stoelben

¹Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH. ludwigc@kliniken-koeln.de

Zentralblatt Fur Chirurgie

|June 20, 2008

Summary

This summary is machine-generated.

Malignant pleural effusions in cancer patients often indicate advanced disease. Video-assisted thoracoscopic surgery (VATS) pleurodesis with talc offers effective symptom relief and is recommended when lung expansion is possible.

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Area of Science:

Pulmonology
Oncology
Thoracic Surgery

Context:

Symptomatic malignant pleural effusions occur in 50% of cancer patients, signaling advanced disease with a poor prognosis.
Treatment aims for efficient symptom relief and short hospital stays, given the limited life expectancy of 3-12 months.

Purpose:

To outline therapeutic strategies for managing symptomatic malignant pleural effusions in advanced cancer patients.
To compare the efficacy and safety of different pleurodesis methods.

Summary:

Chest tube drainage provides rapid symptom relief and assesses lung expansion.
Video-assisted thoracoscopic surgery (VATS) insufflation of talc is recommended for complete lung expansion, with talc (80%) being more effective than doxycycline (70%).
VATS pleurodesis is more effective than talc slurry but has higher complication rates. Indwelling pleural drainage or pleuroperitoneal shunts are alternatives for trapped lungs.

Impact:

Provides evidence-based recommendations for managing malignant pleural effusions, optimizing patient care and outcomes.
Highlights VATS pleurodesis with talc as a preferred method for suitable candidates, balancing efficacy and invasiveness.