Pleurectomy/decortication for palliation in malignant pleural mesothelioma: Results of surgery

dc.authoridkaraoğlanoğlu, Nurettin/0000-0003-2827-6044;
dc.authorwosidkaraoğlanoğlu, Nurettin/HJO-8570-2023
dc.authorwosidtopcu, salih/F-9819-2018
dc.contributor.authorSoysal, O
dc.contributor.authorKaraoglanoglu, N
dc.contributor.authorDemircan, S
dc.contributor.authorTopcu, S
dc.contributor.authorTastepe, I
dc.contributor.authorKaya, S
dc.contributor.authorUnlu, M
dc.date.accessioned2024-08-04T20:13:30Z
dc.date.available2024-08-04T20:13:30Z
dc.date.issued1997
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: Surgery can only offer palliation in an attempt to slow the progression of malignant pleural mesothelioma (MPM), We want to assess the effectiveness and safety of pleurectomy/decortication in establishing a tissue diagnosis, and controlling pleural fluid accumulation and symptoms in patients with MPM. Methods: We reviewed our pleurectomy results in 100 patients with MPM over a 19 year period. Major symptoms were chest pain, cough and dyspnea, and radiographic findings included pleural mass, pleural fluid and constriction of involved hemithorax. Results: Approximately two thirds of the patients underwent underwent subtotal (44%) or total pleurectomy (56%). The surgical mortality rate was 1% (1/100) and the morbidity rate was 22%. Morbidity included prolonged air leak (n = 12), empyema (n = 6), reaccumulation of pleural fluid (n = 2) and wound infection (n = 2). Palliative results included dyspnea and cough relief in all patients, chest pain relief in 60 (85%) and pleural fluid control in 52 (96%) patients. Median survival was 17 months in MPM patients. Conclusions: We conclude that pleurectomy/decortication safely provides both tissue diagnosis and effective control of pleural effusion and symptoms and therefore excellent palliation in patients with MPM. (C) 1997 Elsevier Science B.V.en_US
dc.identifier.doi10.1016/S1010-7940(96)01008-1
dc.identifier.endpage213en_US
dc.identifier.issn1010-7940
dc.identifier.issue2en_US
dc.identifier.pmid9080144en_US
dc.identifier.scopus2-s2.0-0343052606en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage210en_US
dc.identifier.urihttps://doi.org/10.1016/S1010-7940(96)01008-1
dc.identifier.urihttps://hdl.handle.net/11616/93668
dc.identifier.volume11en_US
dc.identifier.wosWOS:A1997WM42300004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofEuropean Journal of Cardio-Thoracic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectmalignant pleural mesotheliomaen_US
dc.subjectpleurectomyen_US
dc.subjectdecorticationen_US
dc.titlePleurectomy/decortication for palliation in malignant pleural mesothelioma: Results of surgeryen_US
dc.typeArticleen_US

Dosyalar