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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1995-3-28
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pubmed:abstractText |
Survival after surgical palliation of patients with malignant pleural effusions is expected to be of several months. From a group of 75 patients operated by video-assisted thoracic surgery (VATS) from September 1991 through March 1993, twenty-two of 38 patients with malignant disease underwent palliative surgery and operative morbidity and length of survival were studied. Palliation consisted in 20 talc pleurodesis and 2 pericardial windows for malignant effusions. In the 16 other patients with malignancy, video-thoracoscopy was done for diagnostic purposes. Thirty-day operative mortality was 13.6% (3/22) and the rate of operative morbidity was 31.8% (7/22). The follow-up was complete for all patients with a mean length of 5 months (+/- sd 4 months). During the follow-up period, 14 of 19 (74%) patients, alive 30 days after the procedure, were deceased at a mean of 3.4 +/- 4 months (6 patients < 3 months) after the operation. In all, 9 of 22 patients (40%) survived less than 3 months (median survival 4 months). Operative morbidity and mortality of video-thoracoscopy are high in the palliative group and only 60% of patients survived more than 3 months. More stringent criteria for selection of patients for palliative endosurgery should be defined.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0003-3944
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
48
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
768-72
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:7532926-Adult,
pubmed-meshheading:7532926-Aged,
pubmed-meshheading:7532926-Female,
pubmed-meshheading:7532926-Humans,
pubmed-meshheading:7532926-Male,
pubmed-meshheading:7532926-Middle Aged,
pubmed-meshheading:7532926-Morbidity,
pubmed-meshheading:7532926-Palliative Care,
pubmed-meshheading:7532926-Pleural Effusion, Malignant,
pubmed-meshheading:7532926-Survival Rate,
pubmed-meshheading:7532926-Thoracoscopy
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pubmed:year |
1994
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pubmed:articleTitle |
[Palliative treatment of malignant effusions by thoracoscopy under video-assistance: morbidity and survival].
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pubmed:affiliation |
Programme de Chirurgie Cardiovasculaire et Thoracique, Université de Montréal, Québec, Canada.
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pubmed:publicationType |
Journal Article,
English Abstract
|