Another interesting study titled "Pleurectomy for mesothelioma." Do Brancatisano RP, Joseph MG, McCaughan BC - Department of Surgery, Repatriation General Hospital Concord, NSW Med J Aust .. . 1st April 1991; 154 (7) :455-7, 460 Here is an excerpt: "Abstract - Objective: To evaluate the efficacy and safety of parietal pleurectomy in establishing a tissue diagnosis and control of pleural fluid accumulation in patients with pleural mesothelioma, and assess the success of this procedure caused mitigation DESIGN aND SETTING:. fifty consecutive patients with pleural mesothelioma who underwent thoracotomy for cardiac units in Concord and Royal Prince Alfred Hospital were reviewed retrospectively male:. female ratio was 04:01 and mean age was 63 years in only 11 of 50 patients had tissue diagnosis of mesothelioma was before the surgery INTERVENTIONS: .. the thoracotomy, subtotal parietal pleurectomy was performed in 45 of 50 patients in two patients. biopsy only was performed, and three patients were treated by chemical pleurodesis only as pleurectomy is not technically possible . pulmonary decortication was required in 28 patients to allow full expansion of the underlying lung for effective pleurodesis.
RESULTS: There was one postoperative smrt.Morbiditeta was 16%. Without a patient who died in the postoperative period, median survival was 16 months, ranging from three to 54 months, with 21% of patients surviving for more than two years. Only one patient developed a reaccumulation of pleural fluid.
Conclusion: Pleurectomy with decortication if necessary, and provide tissue diagnosis and effective control of pleural fluid accumulation and thus a great reduction in patients with pleural mesothelioma. We advocate early thoracotomy in these patients ."
0 comments:
Post a Comment