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Suitable device for thoracoscopic talc poudrage in malignant pleural effusion

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Abstract

Chemical pleurodesis is widely used in symptomatic patients with malignant pleural effusion to relieve symptoms, prevent fluid recurrence, and improve quality of life. Talc has been repeatedly found to be the most effective sclerosant agent, and thoracoscopic talc poudrage has been found to be the most effective pleurodesis technique. A homogeneous talc distribution on the visceral and parietal pleura helps to achieve complete pleural symphysis. We have recently adopted a new suitable sterile device that delivers talc under low and constant pressure, facilitating uniform coating of the whole pleural surface and avoiding inappropriate deposition of talc clumps.

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References

  1. Steger V, Mika U, Toomes H, Walker T, Engel C, Kyriss T, et al. Who gains most? A 10-year experience with 611 thoracoscopic talc pleurodeses. Ann Thorac Surg 2007;83:1940–1945.

    Article  PubMed  Google Scholar 

  2. Shaw PHS, Agarwal R. Pleurodesis for malignant pleural effusions. Cochrane Database Syst Rev 2004;issue 1:CD002916.

  3. Tan C, Sedrakyan A, Browne J, Swift S, Treasure T. The evidence on the effectiveness of management for malignant pleural effusion: a systematic review. Eur J Cardiothorac Surg 2006;29:829–838.

    Article  PubMed  Google Scholar 

  4. Bernard A, de Dompsure RB, Hagry O, Favre JP. Early and late mortality after pleurodesis for malignant pleural effusion. Ann Thorac Surg 2002;74:213–217.

    Article  PubMed  Google Scholar 

  5. Janssen JP, Collier G, Astoul P, Tassi GF, Noppen M, Rodriguez-Panadero F, et al. Safety of pleurodesis with talc poudrage in malignant pleural effusion: a prospective cohort study. Lancet 2007;369:1535–1539.

    Article  PubMed  Google Scholar 

  6. Cardillo G, Facciolo F, Carbone L, Regal M, Corzani F, Ricci A, et al. Long-term follow-up of video-assisted talc pleurodesis in malignant recurrent pleural effusions. Eur J Cardiothorac Surg 2002;21:302–306.

    Article  PubMed  CAS  Google Scholar 

  7. Viallat J-R, Rey F, Astoul P, Boutin C. Thoracoscopic talc poudrage pleurodesis for malignant effusions. Chest 1996;110:1387–1393.

    Article  PubMed  CAS  Google Scholar 

  8. Jutley RS, Waqar S, Raha N, Fenton P, Sarkar PK. Simple technique of talc delivery for video-assisted talc pleurodesis. Gen Thorac Cardiovasc Surg 2009;57:116–118.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Clinical and Biological Sciences, Thoracic Surgery Unit, San Luigi Hospital, University of Turin, 10043, Orbassano (Turin), Italy

    Andrea Billè, Piero Borasio, Mara Gisabella, Luca Errico & Francesco Ardissone

  2. Thoracic Surgery Unit, Guy’s and St. Thomas Hospital, Great Maze Pond, London, SE1 9RT, UK

    Robert Gatherer

Authors
  1. Andrea Billè
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  2. Piero Borasio
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  3. Mara Gisabella
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  4. Luca Errico
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  5. Robert Gatherer
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  6. Francesco Ardissone
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Correspondence to Andrea Billè.

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Billè, A., Borasio, P., Gisabella, M. et al. Suitable device for thoracoscopic talc poudrage in malignant pleural effusion. Gen Thorac Cardiovasc Surg 59, 522–524 (2011). https://doi.org/10.1007/s11748-010-0746-0

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  • DOI: https://doi.org/10.1007/s11748-010-0746-0

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