Skip to main content
main-content

01.12.2012 | Research | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Surgical properties and survival of a pericardial window via left minithoracotomy for benign and malignant pericardial tamponade in cancer patients

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Sezai Celik, Muharrem Celik, Bulent Aydemir, Handan Tanrıkulu, Tamer Okay, Nurşen Tanrikulu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-123) contains supplementary material, which is available to authorized users.

Competing interest

The authors declare that they have no conflict of interest.

Authors’ contribution

SC: design, acquisition of data, analysis and interpretation of data, have given final approval of the version to be published. MC: have been involved in drafting the manuscript or revising it critically for important intellectual content, analysis of data, participated in the sequence alignment. BA: conceived of the study, and participated in its design and coordination and helped to draft the manuscript. HT: participated in the design of the study and performed the statistical analysis. TO: have made substantial contributions to conception and design, or acquisition of data, or analysis and interpretation of data. NT: participated in the design of the study and performed the statistical analysis. Involved in drafting the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Surgical drainage is a rapid and effective treatment for pericardial tamponade in cancer patients. We aimed to investigate the effectiveness of pericardial window formation via mini-thoracotomy for treating pericardial tamponade in cancer patients, and to evaluate clinical factors affecting long-term survival.

Methods

Records of 53 cancer patients with pericardial tamponade treated by pericardial window formation between 2002 and 2008 were examined. Five patients were excluded due to insufficient data. Kaplan-Meier and Cox regression analysis were used for analysis.

Results

Forty-eight patients (64.7% male), with a mean age of 55.20 ± 12.97 years were included. Patients were followed up until the last control visit or death. There was no surgery-related mortality and the 30-day mortality rate was 8.33%; all died during postoperative hospitalization. Morbidity rate was 18.75%. Symptomatic recurrence rate was 2.08%. Cancer type and nature of the pericardial effusion were the major factors determining long-term survival (P <0.001 and P <0.004, respectively).
Overall median survival was 10.41 ± 1.79 months. One- and 2-year survival rates were 45 ± 7% and 18 ± 5%, respectively.

Conclusion

Pericardial window creation via minithoracotomy was proven to be a safe and effective approach in surgical treatment of pericardial tamponade in cancer patients. Cancer type and nature of pericardial effusion were the main factors affecting long-term survival.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1089_MOESM1_ESM.pdf
Authors’ original file for figure 2
12957_2012_1089_MOESM2_ESM.pdf
Authors’ original file for figure 3
12957_2012_1089_MOESM3_ESM.pdf
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

World Journal of Surgical Oncology 1/2012 Zur Ausgabe

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise