ISSN 2564-7784 | E-ISSN 2564-7040
Original Article
Comparison of Success Rates of Pleurodesis with Talc, and Holmium-YAG Laser in the Patients with Malignant Pleural Effusion
1 Department of Thoracic Surgery, Gaziantep University School of Medicine, Gaziantep, Turkey  
2 Clinic of Thoracic Surgery, Dr. Ersin Arslan State Hospital, Gaziantep, Turkey  
3 Clinic of Thoracic Surgery, Ankara Güven Hospital, Ankara, Turkey  
4 Department of Biostatistics, Gaziantep University School of Medicine, Gaziantep, Turkey  
5 Clinic of Chest Diseases, Acibadem Taksim Hospital, İstanbul, Turkey  
6 Clinic of Thoracic Surgery, Medicalpark Hospital, Gaziantep, Turkey  
Eur J Ther 2019; 25: 115-120
DOI: 10.5152/EurJTher.2018.623
Key Words: Holmium-YAG lasers, malignant, pleural effusion, pleurodesis, talc
Abstract

 

Objective: We aimed to investigate the efficacy of Holmium-yttrium aluminum garnet (Ho-YAG) laser using video assisted thoracoscopic surgery (VATS) and compare it with the talcslurry pleurodesis in patients with malignant pleural effusion (MPE).

 

Methods: A total of 51 patients with MPE were included. Patients were divided into two groups. In the laser group, pleurodesis was attempted using Ho-YAG laser through auniportal VATS in 30 patients; in the talc group, pleurodesis was attempted using talc slurry through a small bore chest tube in 21 patients. The success rate of pleurodesis was evaluated using chest X-ray and/or thorax computed tomography obtained at the second month following pleurodesis and was graded as total success, partial success, or failure.

 

Results: In the laser group, pleurodesis was a total success in 19 (63%) patients and partial in 7 (23%) patients. The volume of pleural effusion drained postoperatively was significantly different between the success subgroups (total success subgroup vs. failure subgroup, p=0.000; partial success subgroup vs. failure subgroup, p=0.001). In the talc group, pleurodesis was a total success in 11 (52%) patients and partial in 6 (29%) patients. The success rates of pleurodesis between the talc and laser groups showed no significant difference (p=0.725).

 

Conclusion: The use of Ho-YAG laser through VATS is a safe and effective option for pleurodesis in the management of MPE. However, there is no difference between Ho-YAG laser and talc slurry pleurodesis in terms of procedure success rates.

 

How to cite: Uluşan A, Şanlı M, Arslan E, Işık AF, Tunçözgür B, Kul S, et al. Comparison of Success Rates of Pleurodesis with Talc, and Holmium-YAG Laser in the Patients with Malignant Pleural Effusion. Eur J Ther 2019; 25(2): 115-20.

Key Words
Authors
All
Survey
AVES | Copyright © 2019 European Journal of Therapeutics | Latest Update: 28.05.2019