Does video-assisted thoracoscopic decortication in advanced malignant mesothelioma improve prognosis?
نویسندگان
چکیده
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: Does video-assisted thoracoscopic (VATS) decortication in advanced malignant mesothelioma improve prognosis? Altogether more than 25 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that VATS decortication is useful as a palliative measure in advanced malignant mesothelioma. VATS provides a diagnostic tool, yielding tissue for histological diagnosis. Secondly, drainage of effusion and pleurectomy/decortication improves the quality of life and may increase survival as well.
منابع مشابه
The role of video assisted thoracoscopic pleurectomy/decortication in the therapeutic management of malignant pleural mesothelioma.
OBJECTIVE Extrapleural pneumonectomy (EPP) has high mortality and morbidity; radical pleurectomy decortication (P/D) carries less mortality but still significant morbidity. This surgery is not suitable for many patients with malignant pleural mesothelioma (MPM) for whom video assisted thoracic surgery (VATS) offers a minimally invasive alternative. We aimed to assess the role of VATS decorticat...
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Ann Cardiothorac Surg 2012;1(4):533 www.annalscts.com This video demonstration represents our first attempt at video-assisted thoracoscopic extrapleural pneumonectomy (EPP) for a 51-year-old patient with right-sided malignant pleural mesothelioma following neoadjuvant chemotherapy (Video 1). While originating as an initial inspection for a possible radical decortication, it was apparent that th...
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Methods We reviewed our VATS decortication results in 26 patients with MPE over a 6 year period, compare with 40 patient treated with talk pleurodesis and drainage only. Major symptoms were chest pain, cough and dyspnea, and radiographic findings of pleural fluid. Trapped lung was demonstrated after MPE evacuation in all patients preoperatively. Patient with malignant mesothelioma end bronchial...
متن کاملMalignant pleural mesothelioma: a comprehensive review.
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ورودعنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 8 4 شماره
صفحات -
تاریخ انتشار 2009