دورية أكاديمية
Pericardial Window Operation in Oncology Patients: Analysis of Long-Term Survival and Prognostic Factors
| العنوان: | Pericardial Window Operation in Oncology Patients: Analysis of Long-Term Survival and Prognostic Factors |
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| المؤلفون: | Sung Min Kim, Jun Ho Lee, Su Ryeun Chung, Kiick Sung, Wook Sung Kim, Yang Hyun Cho |
| المصدر: | Journal of Chest Surgery, Vol 57, Iss 2, Pp 169-177 (2024) |
| بيانات النشر: | Korean Society for Thoracic & Cardiovascular Surgery, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | pericardial effusion, pericardial window techniques, neoplasms, Medicine (General), R5-920 |
| الوصف: | Background: Pericardial effusion (PE) is a serious condition in cancer patients, primarily arising from malignant dissemination. Pericardial window formation is a surgical intervention for refractory PE. However, the long-term outcomes and factors associated with postoperative survival remain unclear. Methods: We retrospectively analyzed data from 166 oncology patients who underwent pericardial window formation at Samsung Medical Center between 2011 and 2023. We analyzed survival and PE recurrence regarding surgical approach, cancer type, and cytopathological findings. To identify factors associated with survival, we utilized Cox proportional- hazards regression. Results: All patients had tumors documented in accordance with the American Joint Committee on Cancer staging manual, including lung (61.4%), breast (9.6%), gastrointestinal (9.0%), hematologic (3.6%), and other cancers (16.4%). Surgical approaches included mini-thoracotomy (67.5%) and thoracoscopy (32.5%). Postsurgical cytopathology confirmed malignancy in 94 cases (56.6%). Over a median follow-up duration of 50.0 months, 142 deaths and 16 PE recurrences occurred. The 1-year overall and PE recurrence-free survival rates were 31.4% and 28.6%, respectively. One-year survival rates were significantly higher for thoracoscopy recipients (43.7% vs. 25.6%, p=0.031) and patients with negative cytopathology results (45.1% vs. 20.6%, p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2765-1606 2765-1614 |
| Relation: | https://doaj.org/toc/2765-1606; https://doaj.org/toc/2765-1614 |
| DOI: | 10.5090/jcs.23.113 |
| URL الوصول: | https://doaj.org/article/8d27448caacd4c0d8b1ddd3e768852f3 |
| رقم الأكسشن: | edsdoj.8d27448caacd4c0d8b1ddd3e768852f3 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 27651606 27651614 |
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| DOI: | 10.5090/jcs.23.113 |