Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions.
Introduction: Malignant pleural effusion (MPE) involves advanced cancer disease. Pleural biopsy for endoscopic thoracic surgery allows diagnosis in more than 90% of cases and instrumentation of the pleural space, improving the results of the technique.Material and Method: We performed a retrospectiv...
| Autores principales: | , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2017
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/17017 |
| Aporte de: |
| id |
I10-R327-article-17017 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Derrame pleural maligno Toracoscopía Cirugía asistida por video pleural effusion malignant thoracoscopy video-assisted surgery |
| spellingShingle |
Derrame pleural maligno Toracoscopía Cirugía asistida por video pleural effusion malignant thoracoscopy video-assisted surgery Alvarez Padilla, Facundo Nicolás Schiavoni, Emiliano Nestor Bustos, Mario Eduardo Francisco Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| topic_facet |
Derrame pleural maligno Toracoscopía Cirugía asistida por video pleural effusion malignant thoracoscopy video-assisted surgery |
| author |
Alvarez Padilla, Facundo Nicolás Schiavoni, Emiliano Nestor Bustos, Mario Eduardo Francisco |
| author_facet |
Alvarez Padilla, Facundo Nicolás Schiavoni, Emiliano Nestor Bustos, Mario Eduardo Francisco |
| author_sort |
Alvarez Padilla, Facundo Nicolás |
| title |
Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| title_short |
Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| title_full |
Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| title_fullStr |
Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| title_full_unstemmed |
Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. |
| title_sort |
early video-assisted thoracic surgery (vats) improves quality of life in complicated neoplastic pleural effusions. |
| description |
Introduction: Malignant pleural effusion (MPE) involves advanced cancer disease. Pleural biopsy for endoscopic thoracic surgery allows diagnosis in more than 90% of cases and instrumentation of the pleural space, improving the results of the technique.Material and Method: We performed a retrospective analysis of patients with MPE who underwent a talc chemical pleurodesis. Two groups were formed, one with complicated malignant pleural effusion (CMPE) and another with uncomplicated malignant pleural effusion (NCMPE). In the group with CMPE, "release - expansion maneuvers" were performed. The variables between the two groups were compared for the relevant analysis.Results: We analyzed 28 patients with MPE treated with chemical pleurodesis by endoscopic thoracic surgery. The average age was 62.64 years. Pleural involvement due to breast disease was the most frequent form (46.4%). There was no difference between complication rate (p = 0.31) and the risk of death at 30 days (p = 1.09) with aggressive management of pleural space. The delay pleurodesis indication was related to a higher rate of complications (p = 0.002) and a higher probability of death within 30 days (p = 0.008). The majority of patients return to their daily tasks, with good tolerance to dyspnea following the procedure.Conclusion: In patients with complicated MPE, the "lung-release maneuvers" described above would increase the chances of improving outcomes at low risk. Early chemical pleurodesis improves the quality of life of patients with PND. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2017 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/17017 |
| work_keys_str_mv |
AT alvarezpadillafacundonicolas earlyvideoassistedthoracicsurgeryvatsimprovesqualityoflifeincomplicatedneoplasticpleuraleffusions AT schiavoniemilianonestor earlyvideoassistedthoracicsurgeryvatsimprovesqualityoflifeincomplicatedneoplasticpleuraleffusions AT bustosmarioeduardofrancisco earlyvideoassistedthoracicsurgeryvatsimprovesqualityoflifeincomplicatedneoplasticpleuraleffusions AT alvarezpadillafacundonicolas lacirugiatoracicavideoasistidavatstempranamejoralacalidaddevidaenlosderramespleuralesneoplasicoscomplicados AT schiavoniemilianonestor lacirugiatoracicavideoasistidavatstempranamejoralacalidaddevidaenlosderramespleuralesneoplasicoscomplicados AT bustosmarioeduardofrancisco lacirugiatoracicavideoasistidavatstempranamejoralacalidaddevidaenlosderramespleuralesneoplasicoscomplicados |
| first_indexed |
2024-09-03T20:58:33Z |
| last_indexed |
2024-09-03T20:58:33Z |
| _version_ |
1809210003424280576 |
| spelling |
I10-R327-article-170172024-08-27T18:20:39Z Early Video-Assisted Thoracic Surgery (VATS) improves quality of life In complicated Neoplastic Pleural Effusions. La cirugía torácica video-asistida (VATS) temprana, mejora la calidad de vida en los derrames pleurales neoplásicos complicados. Alvarez Padilla, Facundo Nicolás Schiavoni, Emiliano Nestor Bustos, Mario Eduardo Francisco Derrame pleural maligno Toracoscopía Cirugía asistida por video pleural effusion malignant thoracoscopy video-assisted surgery Introduction: Malignant pleural effusion (MPE) involves advanced cancer disease. Pleural biopsy for endoscopic thoracic surgery allows diagnosis in more than 90% of cases and instrumentation of the pleural space, improving the results of the technique.Material and Method: We performed a retrospective analysis of patients with MPE who underwent a talc chemical pleurodesis. Two groups were formed, one with complicated malignant pleural effusion (CMPE) and another with uncomplicated malignant pleural effusion (NCMPE). In the group with CMPE, "release - expansion maneuvers" were performed. The variables between the two groups were compared for the relevant analysis.Results: We analyzed 28 patients with MPE treated with chemical pleurodesis by endoscopic thoracic surgery. The average age was 62.64 years. Pleural involvement due to breast disease was the most frequent form (46.4%). There was no difference between complication rate (p = 0.31) and the risk of death at 30 days (p = 1.09) with aggressive management of pleural space. The delay pleurodesis indication was related to a higher rate of complications (p = 0.002) and a higher probability of death within 30 days (p = 0.008). The majority of patients return to their daily tasks, with good tolerance to dyspnea following the procedure.Conclusion: In patients with complicated MPE, the "lung-release maneuvers" described above would increase the chances of improving outcomes at low risk. Early chemical pleurodesis improves the quality of life of patients with PND. INTRODUCCIONEl derrame pleural neoplásico (DPN) implica una enfermedad oncológica avanzada. La biopsia pleural por cirugía torácica endoscópica permite el diagnóstico en más del 90% de los casos y la instrumentación del espacio pleural complicado, mejorando los resultados de la técnica.MATERIAL Y METODOSe realizó un análisis retrospectivo de pacientes con DPN operados para la realización de una pleurodesis química con talco. Se formaron dos grupos, uno con derrame pleural neoplásico complicado (DPNC) y otro con derrame pleural neoplásico no complicado (DPNNC). En el grupo con DPNC se realizó “maniobras de liberación – expansión”. Se compararon las variables entre ambos grupos para el análisis pertinente.RESULTADOSSe analizaron 28 pacientes con DPN tratados con pleurodesis química por cirugía torácica endoscópica. La edad promedio fue de 62,64 años. El compromiso pleural por patología mamaria fue la forma más frecuente (46,4%). No se hubo diferencia en cuanto a complicaciones (p= 0,31) y riesgo de defunción a los 30 días (p=1,09) con el manejo agresivo del espacio pleural. La demora en la indicación de pleurodesis se relacionó con un mayor índice de complicaciones (p=0,002) y mayor probabilidad de defunción dentro de los 30 días (p=0,008). La mayoría de pacientes se reinsertó a sus tareas diarias, con buena tolerancia a la disnea luego del procedimiento. CONCLUSIONEn los pacientes con DPNC, las “maniobras de liberación - expansión pulmonar” descriptas, aumentarían las chances de mejorar los resultados con bajo riesgo. La pleurodesis química temprana mejora la calidad de vida de los pacientes portadores de un DPN. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-12-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document image/gif image/gif application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/med/article/view/17017 10.31053/1853.0605.v74.n4.17017 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 4 (2017); 379-385 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 4 (2017); 379-385 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 4 (2017); 379-385 1853-0605 0014-6722 10.31053/1853.0605.v74.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/17017/19608 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26494 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26495 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26496 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26497 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26498 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26499 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26500 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26501 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26502 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26503 https://revistas.unc.edu.ar/index.php/med/article/view/17017/26504 Derechos de autor 2017 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |