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Efficacy of videothoracoscopic talc pleurodesis and intrapleural administration of Vibramicin in palliative treatment of neoplasmatic pleural effusion - a comparative study
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Abstract
Material and methods. In group I (n = 45) videothoracoscopic approach was used for evacuation of the fluid and talc poudrage. In group II (n = 30) pleural effusion was evacuated with chest tubing. When the lung was fully expanded chest tubes were used for rinsing of pleural space with Vibramycin.
Results and conclusion. Both methods showed comparable efficacy and 65% of patients at the third month of follow-up were free from pleural effusion. However, in group I (videothoracoscopic talc poudrage) recurrence rate of effusion was markedly lower than in group II (Vibramycin in pleural rinsing) (22% vs. 33%). We conclude that the use of videothoracoscopic talc poudrage provides longer and better results of pleurodesis than administration of Vibramycin to the pleural space.
Abstract
Material and methods. In group I (n = 45) videothoracoscopic approach was used for evacuation of the fluid and talc poudrage. In group II (n = 30) pleural effusion was evacuated with chest tubing. When the lung was fully expanded chest tubes were used for rinsing of pleural space with Vibramycin.
Results and conclusion. Both methods showed comparable efficacy and 65% of patients at the third month of follow-up were free from pleural effusion. However, in group I (videothoracoscopic talc poudrage) recurrence rate of effusion was markedly lower than in group II (Vibramycin in pleural rinsing) (22% vs. 33%). We conclude that the use of videothoracoscopic talc poudrage provides longer and better results of pleurodesis than administration of Vibramycin to the pleural space.
Keywords
lung cancer; pulmonary metastases; hydrothorax; pleurodesis
About this articleTitle
Efficacy of videothoracoscopic talc pleurodesis and intrapleural administration of Vibramicin in palliative treatment of neoplasmatic pleural effusion - a comparative study
Journal
Advances in Palliative Medicine
Issue
Vol 5, No 1 (2006): Polish Palliative Medicine
Pages
3-8
Published online
2006-04-21
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661
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Bibliographic record
Advances in Palliative Medicine 2006;5(1):3-8.
Keywords
lung cancer
pulmonary metastases
hydrothorax
pleurodesis
Authors
Paweł W. Kasprzak
Wojciech Dyszkiewicz