Malignant pleural mesothelioma: outcome of limited surgical management.

Autor: Phillips, Peter G, Asimakopoulos, George, Maiwand, M Omar
Zdroj: Interactive Cardiovascular and Thoracic Surgery; March 2003, Vol. 2 Issue: 1 p30-34, 5p
Abstrakt: This study presents data on limited surgical management of malignant pleural mesothelioma. We reviewed retrospectively 70 cases of the disease managed surgically over a 10 year period. Fifteen patients received only diagnostic direct pleural biopsy, 40 had video-assisted thoracoscopic, pleural biopsy and talc pleurodesis while 15 patients underwent thoracotomy and pleurectomy for disease confined to the pleura. There were two in-hospital deaths. Actuarial survival was significantly longer in the thoracotomy group (median 14 months vs. 6 months in the other two groups, P < 0.03). Survival after limited surgical management of malignant mesothelioma is comparable to a previously reported more radical surgical approach.
Databáze: Supplemental Index