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THE ASSESSMENT OF SURGICAL TREATMENT OF PATIENTS WITH MALIGNANT PLEURAL EFFUSION

https://doi.org/10.24884/0042-4625-2013-172-3-032-038

Abstract

An analysis of results of 498 patients with malignant pleural effusion was made. All patients were divided into three groups depending on methods of treatment: in the first group of patients the puncture of pleural cavity and the evacuation of liquid were made against the background of complex treatment; in the second group of patients the thoracocentesis and suspension induction were performed; in the third group the video thoracoscopy was carried out. In an assessment of each method of treatment, the researchers came to the conclusion that in case when the patient had the sufficient functional capabilities, the doctors should give preference to the thoracoscopy operations and in case of severe somatic status the doctors should give preference to the drainage of pleural cavity with release from exudates and with subsequent introduction of talc as the most effective sclerosing agent.

About the Authors

S. M. Lasarev
Municipal hospital of Saint Elizabeth
Russian Federation


A. V. Reshetov
North-Western Mechnikov State Medical University
Russian Federation


O. E. Kakysheva
North-Western Mechnikov State Medical University
Russian Federation


G. V. Nikolaev
Almazov federal centre of the heart, blood and endocrinology
Russian Federation


Yu. V. Kirillov
Almazov federal centre of the heart, blood and endocrinology
Russian Federation


G. N. Volgin
Municipal hospital of Saint Elizabeth
Russian Federation


References

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Review

For citations:


Lasarev S.M., Reshetov A.V., Kakysheva O.E., Nikolaev G.V., Kirillov Yu.V., Volgin G.N. THE ASSESSMENT OF SURGICAL TREATMENT OF PATIENTS WITH MALIGNANT PLEURAL EFFUSION. Grekov's Bulletin of Surgery. 2013;172(3):032-038. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-3-032-038

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)