Malignant pleural effusion treatment outcomes: Pleurodesis via video-assisted thoracic surgery (VATS) versus tube thoracostomy

Shing Ping Luh, C. Y. Chen, C. Y. Tzao

研究成果: 雜誌貢獻文章同行評審

16 引文 斯高帕斯(Scopus)


Study Objectives: Video-assisted thoracic surgery (VATS) has been widely used in the diagnosis and management of various thoracic diseases. The objective of this retrospective study was to compare the effectiveness of patients undergoing pleurodesis through VATS versus tube thoracostomy for malignant pleural effusion (MPE). Study design was a retrospective review of patients treated in medical centers and hospitals in Taiwan. Patients: One hundred and forty-eight patients with MPE resistant to systemic therapy resulting from various types of carcinomas were retrospectively reviewed. VATS pleurodesis was carried out in 82 and tube thoracostomy with pleurodesis in 66 patients. Results: There were no intraoperative deaths and 4 (2.7%) in-hospital deaths. One hundred and eighteen (79.7%) patients were available for follow-up. There were no statistically significant differences in the preoperative characteristics of the two treatment groups, except that the amount of effusion and the percentage of patients with dyspnea were both higher in the VATS treatment group. The duration of chest tube drainage was significantly longer (p <0.01) in the tube thoracostomy treatment group (9.1 ± 3.3 vs. 6.2 ± 2.3 days). There were no significant differences between the treatment groups with regard to the incidence of surgical complications and perioperative mortality. Median survival was similar in both treatment groups; however, the VATS treatment group had a significantly longer median recurrence-free survival than the tube thoracostomy treatment group. Conclusions: VATS treatment for MPE appears to be superior to tube thoracostomy for diagnostic accuracy and effectiveness in preventing effusion recurrence; however, the role of these treatments for MPE is palliative, and does not significantly prolong survival time.

頁(從 - 到)332-336
期刊Thoracic and Cardiovascular Surgeon
出版狀態已發佈 - 8月 2006

ASJC Scopus subject areas

  • 心臟病學與心血管醫學


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