HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Richard H. Adler Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Adler, R. H. Articles by Sayek, I. Search for Related Content PubMed PubMed Citation Articles by Adler, R. H. Articles by Sayek, I.

Ann Thorac Surg 1976;22:8-15
© 1976 The Society of Thoracic Surgeons

---

Articles

Treatment of Malignant Pleural Effusion: A Method Using Tube Thoracostomy and Talc

Department of Surgery, State University of New York at Buffalo School of Medicine and Buffalo General Hospital, Buffalo, NY

Accepted for publication February 3, 1976.

^* Address reprint requests to Dr. Adler, Department of Surgery, Buffalo General Hospital, 100 High St, Buffalo, NY 14203

Our experience with a simple bedside method for controlling recurrent symptomatic malignant pleural effusion is presented. The method consists of intercostal tube thoracostomy, instillation of a suspension of talc, and waterseal suction drainage. Based on our experience, we believe certain criteria should be met before undertaking talc pleurodesis. In properly selected patients the results with tube thoracostomy and talc pleurodesis have been uniformly good in preventing fluid recurrence and return of disabling symptoms. The technique and results are discussed.

This article has been cited by other articles:

				M. E. Roberts, E. Neville, R. G. Berrisford, G. Antunes, N. J. Ali, and on behalf of the BTS Pleural Disease Guideline Gro Management of a malignant pleural effusion: British Thoracic Society pleural disease guideline 2010 Thorax, August 1, 2010; 65(Suppl_2): ii32 - ii40. [Full Text] [PDF]

				C. M. Dresler, J. Olak, J. E. Herndon II, W. G. Richards, E. Scalzetti, S. B. Fleishman, K. H. Kernstine, T. Demmy, D. M. Jablons, L. Kohman, et al. Phase III Intergroup Study of Talc Poudrage vs Talc Slurry Sclerosis for Malignant Pleural Effusion Chest, March 1, 2005; 127(3): 909 - 915. [Abstract] [Full Text] [PDF]

				G Antunes, E Neville, J Duffy, and N Ali BTS guidelines for the management of malignant pleural effusions Thorax, May 1, 2003; 58(90002): ii29 - 38. [Full Text]

				V. H. Gerbaudo, D. J. Sugarbaker, S. Britz-Cunningham, M. F. Di Carli, C. Mauceri, and S. T. Treves Assessment of Malignant Pleural Mesothelioma with 18F-FDG Dual-Head Gamma-Camera Coincidence Imaging: Comparison with Histopathology J. Nucl. Med., September 1, 2002; 43(9): 1144 - 1149. [Abstract] [Full Text] [PDF]

				F. S. Vargas, L. R. Teixeira, L. Antonangelo, M. A. C. Vaz, A. O. Carmo, E. Marchi, and R. W. Light Experimental Pleurodesis in Rabbits Induced by Silver Nitrate or Talc : 1-Year Follow-up Chest, May 1, 2001; 119(5): 1516 - 1520. [Abstract] [Full Text] [PDF]

				G ANTUNES and E NEVILLE Management of malignant pleural effusions Thorax, December 1, 2000; 55(12): 981 - 983. [Full Text]

				P. N. Wurnig, P. H. Hollaus, T. Ohtsuka, J. B. Flege, and R. K. Wolf Thoracoscopic direct clipping of the thoracic duct for chylopericardium and chylothorax Ann. Thorac. Surg., November 1, 2000; 70(5): 1662 - 1665. [Abstract] [Full Text] [PDF]

				F. S. Vargas, L. R. Teixeira, M. A.C. Vaz, A. O. Carmo, E. Marchi, P. M. Cury, and R. W. Light Silver Nitrate Is Superior to Talc Slurry in Producing Pleurodesis in Rabbits Chest, September 1, 2000; 118(3): 808 - 813. [Abstract] [Full Text] [PDF]

				A. P. C. Yim, A. T. C. Chan, T. W. Lee, I. Y. P. Wan, and J. K. S. Ho Thoracoscopic Talc Insufflation Versus Talc Slurry for Symptomatic Malignant Pleural Effusion Ann. Thorac. Surg., December 1, 1996; 62(6): 1655 - 1658. [Abstract] [Full Text]

				F. T Velasco, V. W. Rusch, and R. J. Ginsberg Thoracoscopic Management of Chest Neoplasms Surgical Innovation, March 1, 1994; 1(1): 43 - 51. [Abstract] [PDF]

				L. A. Robinson, W. H. Fleming, and T. A. Galbraith Intrapleural doxycycline control of malignant pleural effusions Ann. Thorac. Surg., May 1, 1993; 55(5): 1115 - 1122. [Abstract] [PDF]

				T. M. Daniel, C. G. Tribble, and B. M. Rodgers Thoracoscopy and talc poudrage for pneumothoraces and effusions Ann. Thorac. Surg., August 1, 1990; 50(2): 186 - 189. [Abstract] [PDF]

				D. Weissberg and M. Kaufman The Use of Talc for Pleurodesis in the Treatment of Resistant Empyema Ann. Thorac. Surg., February 1, 1986; 41(2): 143 - 145. [Abstract] [PDF]

				D. Weissberg, M. Kaufman, and Z. Zurkowski Pleuroscopy in Patients with Pleural Effusion and Pleural Masses Ann. Thorac. Surg., March 1, 1980; 29(3): 205 - 208. [Abstract] [PDF]

				E. H. Austin and M. W. Flye The Treatment of Recurrent Malignant Pleural Effusion Ann. Thorac. Surg., August 1, 1979; 28(2): 190 - 203. [Abstract] [PDF]

				A. LEFF, P. C. HOPEWELL, and J. COSTELLO Pleural Effusion from Malignancy Ann Intern Med, April 1, 1978; 88(4): 532 - 537. [Abstract] [PDF]