[Thoracoscopic video-assisted talcum pleurodesis (TTP)--effective treatment of malignant pleural effusion].
BACKGROUND
Aim of the palliative therapeutic procedure should be a fast, efficient and pain free treatment of the malignant pleural effusions.


METHODS
Since 1995 the results of malignant pleural effusions treatment were analyzed retrospectively in 46 patients who underwent 51 video-assisted TTP. The most frequent origin of malignant pleural effusion was breast cancer, followed by bronchial carcinoma. Precondition for video-assisted TTP was the verification of a malignant pleural effusion by cytology.


RESULTS
Following TTP one patient suffered from pneumonia, two recurrent diseases occurred. Four patients died due to their severe primary malignancy. Average hospitalization was 8 days (3-55).


CONCLUSIONS
Video-assisted TTP is the standard procedure in palliative treatment of malignant pleural effusion; the recurrence rate is low and the technique minimal invasive.
Brünagel
G
G
Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie der Rheinischen Friedrich-Wilhelms-Universität Bonn, Germany.
Decker
P
P
Manekeller
St
S
Hirner
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000401:mortality / Q000601:surgery; D002283:Carcinoma, Bronchogenic / Q000401:mortality / Q000601:surgery; D002423:Cause of Death; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000401:mortality / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D016066:Pleural Effusion, Malignant / Q000401:mortality / Q000601:surgery*; D018700:Pleurodesis / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality; D013627:Talc / Q000627:therapeutic use*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome
D013627:Talc
Die thorakoskopische videoassistierte Talkumpleurodese - eine effektive Behandlungsmethode des malignen Pleuraergusses.