Avtor/Urednik     Crnjac, Anton
Naslov     Vrijednost torakoskopske mehaničke pleurodeze u liječenju malignoga pleuralnog izljeva
Tip     monografija
Kraj izdaje     Zagreb
Založnik     Sveučilište u Zagrebu, Medicinski fakultet
Leto izdaje     1997
Obseg     str. 65
Jezik     cro
Abstrakt     Malignant pleural effusions present a frequent and dangerous complication in numerous malignant tumours of a human organism. In addition to the fact that patients already suffer from the basic disease the pleural effusion causes respiratory problems and therefore leads to a poorer quality of the rest of their lives. On one hand there are tumours accompanied by consequential pleural effusions which react satisfactorily to systematic therapy leading to the sanation of malignant pleural effusions, on the other hand there are tumours and malignant pleural effusions which are refractive to this kind of therapy. It is precisely in this latter case that it is sensible to use one of the more or less aggressive paliative procedures for the sanation of a malignant pleural effusion. Medical literature describes numerous different paliative methods for the treatment of malignant pleural effusions used in practice. Some of the methods are relatively simple but not efficient enough, whereas the others are very successful but too aggressive for a carcinoma patient. Thoracoscopic mechanical pleurodesis combines the qualities of those methods - it is very successful, the percentage of complications is minimal, the thoracal drainage is short, as well as the hospitalisation time and and the improvement of respiratory functions is evident. For the patient it also presents a practically unstressful surgical procedure. Besides an important diagnostic effect of thoracoscopic procedures, the thoracoscopic mechanical pleurodesis is of great therapeutical importance and could therefore be proclaimed as one of the best paliative methods in the treatment of this pathology.
Deskriptorji     PLEURAL EFFUSION, MALIGNANT
PLEURODESIS
THORACOSCOPY
RECURRENCE
LENGTH OF STAY
SPIROMETRY
FORCED EXPIRATORY VOLUME
TREATMENT OUTCOME