Please use this identifier to cite or link to this item:
https://ahro.austin.org.au/austinjspui/handle/1/10056
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Trotter, Dean | en |
dc.contributor.author | Aly, Ahmad | en |
dc.contributor.author | Siu, Lyndon | en |
dc.contributor.author | Knight, Simon R | en |
dc.date.accessioned | 2015-05-15T23:23:23Z | |
dc.date.available | 2015-05-15T23:23:23Z | |
dc.date.issued | 2005-06-01 | en |
dc.identifier.citation | Heart, Lung & Circulation; 14(2): 93-7 | en |
dc.identifier.govdoc | 16352262 | en |
dc.identifier.other | PUBMED | en |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/10056 | en |
dc.description.abstract | Video-assisted thoracoscopic surgery (VATS) is commonly employed to achieve pleurodesis in patients suffering malignant pleural effusion (MPE). AIMS.: To evaluate the utility and outcome of VATS pleurodesis in management of MPE.Two hundred and two consecutive VATS pleurodesis for MPE were evaluated. Data was derived from a prospectively maintained database and hospital records. Pleurodesis was deemed unsuccessful if a significant effusion occurred within 30 days of surgery.VATS pleurodesis was successful in 88% of patients (failure 12%) while recurrence of effusion occurred in 18%. Post-operative air space, air leak, empyema and prolonged intercostal catheter drainage (>14 days) were all significantly associated with a failed procedure. Mean length of stay was 10.4 days and 42% of patients were discharged within 7 days of surgery. Morbidity was 20% with no operative deaths and median survival was 94 days. Inpatient mortality was 5%. High ASA (>or=4) was significantly associated with increased risk of inpatient death (p<0.001) and poorer long-term survival (43 days versus 133 days, p=0.05).VATS pleurodesis offers reasonable palliation of MPE with low morbidity and rapid recovery. Patients with an ASA score of >or=4 have a poor overall outcome and warrant less invasive palliative measures. | en |
dc.language.iso | en | en |
dc.subject.other | Adult | en |
dc.subject.other | Aged | en |
dc.subject.other | Aged, 80 and over | en |
dc.subject.other | Female | en |
dc.subject.other | Hospitals, Teaching | en |
dc.subject.other | Humans | en |
dc.subject.other | Length of Stay | en |
dc.subject.other | Male | en |
dc.subject.other | Middle Aged | en |
dc.subject.other | Pleural Effusion, Malignant.therapy | en |
dc.subject.other | Pleurodesis.methods | en |
dc.subject.other | Prospective Studies | en |
dc.subject.other | Recurrence | en |
dc.subject.other | Retrospective Studies | en |
dc.subject.other | Thoracic Surgery, Video-Assisted | en |
dc.subject.other | Treatment Outcome | en |
dc.subject.other | Victoria | en |
dc.title | Video-assisted thoracoscopic (VATS) pleurodesis for malignant effusion: an Australian teaching hospital's experience. | en |
dc.type | Journal Article | en |
dc.identifier.journaltitle | Heart, Lung & Circulation | en |
dc.identifier.affiliation | Austin Hospital, Melbourne, Australia | en |
dc.identifier.doi | 10.1016/j.hlc.2005.02.004 | en |
dc.description.pages | 93-7 | en |
dc.relation.url | https://pubmed.ncbi.nlm.nih.gov/16352262 | en |
dc.type.austin | Journal Article | en |
local.name.researcher | Aly, Ahmad | |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Thoracic Surgery | - |
Appears in Collections: | Journal articles |
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