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  • Torakoskopska plevrodeza s smukcem pri malignem plevralnem izlivu = Thoracoscopic talc pleurodesis for malignant pleural effusion
    Turel, Matjaž ; Debeljak, Andrej, 1940- ; Kecelj, Peter, 1965-
    Background. The objecitve of the study was to determine the effectiveness of thoracoscopic talc pleurodesis to control malignant pleural effusion (MPE). Patients and methods. Our retrospective study ... involved 25 consecutive patients, 9 with mesothelioma and 16 with secondary MPE, treated at this Department between July, 1,1994 and December 31, 1997. There were 19 men and 6women, ranging in age from 42 to 72 years (mean 61.8 +- 8.6 yrs). The outcomevariables studied included effectiveness of pleurodesis, complication rate, duration of thoracic drainage, post-procedure hospital stay, quality of life and survival following discharge from the hospital. Results. Pleurodesis was successfully performed in 21 patients (84%). The complications included empyema in one woman and growth of the mesothelioma through the thoracosope entry incision in one man. One patient was operated on 10 days after unsuccessful thoracoscopic pleurodesis. Mechanical pleurodesis was attempted, but the patient succumbed perioperatively to sudden cardiac death. The durationof thoracic drainage ranged from 1 to 28 days (mean 4.6 +- 5.4 days). After the procedure, the patients stayed in the hospital for 3 to 32 days (mean 10.3 +- 6.6 days). The quality of life was good in 1 patient, satisfactory in 9 patients, poor in 7 and very poor in 7 patients. The duration of survival was significantly longer in patients with mesothelioma than in patients with secondary MPE (12.5 +- 9.8 vs. 5.8 +- 5.6 months; p<0.05). Conclusions. Thoracoscopic talc pleurodesis has proved an effective method to control recurrent malignant pleural effusion in our patients.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 7, december 1998, str. 189-195)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 8165849

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