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Cardiothoracic Surgery in the Elderly pp 581–587Cite as

Surgery for Pleural Disease in the Elderly

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Abstract

Pleural diseases in the elderly are a heterogeneous group of processes that take place in the pleural space, ranging from life-threatening to innocuous. This review focuses on the surgical management of pneumothoraces in compromised patients, parapneumonic effusions and empyemas, malignant effusions, and mesothelioma.

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References

  1. Melton LJ, Hepper NCG, Offord KP. Incidence of spontaneous pneumothorax in Olmstead County, Minnesota: 1950 to 1974. Am Rev Respir Dis. 1979;120:1379–82.

    PubMed  Google Scholar 

  2. Light RW, O’Hara VS, Moritz TE, et al. Intrapleural tetracycline for the prevention of recurrent spontaneous pneumothorax. JAMA. 1990;264:2224–30.

    Article  PubMed  CAS  Google Scholar 

  3. Miller AC, Harvey JE. Guidelines for the management of spontaneous pneumothorax. BMJ. 1993;307:114–6.

    Article  PubMed  CAS  Google Scholar 

  4. Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax. Chest. 2001;119:590–2.

    Article  PubMed  CAS  Google Scholar 

  5. Videau V, Pillgram-Larsen J, Oyvind E, et al. Spontaneous pneumothorax in COPD: complications, treatment and recurrences. Eur J Respir Dis. 1987;71:365–71.

    Google Scholar 

  6. Shen KR, Cerfolio RJ. Decision making in the management of secondary spontaneous pneumothorax in patients with severe emphysema. Thorac Surg Clin. 2009;19:233–8.

    Article  PubMed  Google Scholar 

  7. Little AG. The management of pleural space problems. In: Franco KL and Putnam JB, editors. Advanced Therapy in Thoracic Surgery. 2nd ed. Hamilton: BC Decker; 2005. p 205–14.

    Google Scholar 

  8. Chapman SJ, Davies RJO. The management of pleural space infections. Respirology. 2004;9:4–11.

    Article  PubMed  Google Scholar 

  9. Davies CW, Kearney SE, Gleeson FV, Davies RJ. Predictors of outcome and long-term survival in patients with pleural infection. Am J Respir Crit Care Med. 1999;160:1682–7.

    PubMed  CAS  Google Scholar 

  10. Chen KY, Hsueh PR, Liaw YS, Yang PC, Luh KT. A 10-year experience with bacteriology of acute thoracic empyema: emphasis on Klebsiella pneumoniae in patients with diabetes mellitus. Chest. 2000;117:1685–9.

    Article  PubMed  CAS  Google Scholar 

  11. Maskell NA, Davies CW, Jones E, Davies RJO. Characteristics of the first 150 patients participating in the MRC/BTS MIST empyema trial. Thorax. 2001;56(Suppl III):40–1.

    Google Scholar 

  12. Katariya K, Thurer RJ. Surgical management of empyema. Clin Chest Med. 1998;19:395–406.

    Article  PubMed  CAS  Google Scholar 

  13. Angelillo Mackinlay TA, Lyons GA, Chimondeguy DJ, Piedras MA, Angaramo G, Emery J. VATS debridement versus thoracotomy in the treatment of loculated postpneumonia empyema. Ann Thorac Surg. 1996;61:1626–30.

    Article  PubMed  CAS  Google Scholar 

  14. Waller DA, Rengarajan A. Thoracoscopic decortication: a role for video-assisted surgery in chronic postpneumonic pleural empyema. Ann Thorac Surg. 2001;71(6):1813–6.

    Article  PubMed  CAS  Google Scholar 

  15. Landreneau RJ, Keenan RJ, Hazelrigg SR, Mack MJ, Naunheim KS. Thoracoscopy for empyema and hemothorax. Chest. 1996;109:18–24.

    Article  PubMed  CAS  Google Scholar 

  16. Podbielski FJ, Maniar HS, Rodriguez HE, Hernan MJ, Vigneswaran WT. Surgical strategy of complex empyema thoracis. JSLS. 2000;4:287–90.

    PubMed  CAS  Google Scholar 

  17. Cunniffe MG, Maguire D, McAnena OJ, Johnston S, Gilmartin JJ. Video-assisted thoracoscopic surgery in the management of loculated empyema. Surg Endosc. 2000;14:175–8.

    Article  PubMed  CAS  Google Scholar 

  18. Powell LL, Allen R, Brenner M, Aryan HE, Chen JC. Improved patient outcome after surgical treatment for loculated empyema. Am J Surg. 2000;179:1–6.

    Article  PubMed  CAS  Google Scholar 

  19. Lackner RP, Hughes R, Anderson LA, Sammut PH, Thompson AB. Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections. Am J Surg. 2000;179: 27–30.

    Article  PubMed  CAS  Google Scholar 

  20. Davies RJO, Traill ZC, Gleeson FV. Randomised controlled trial of intra-pleural streptokinase in community acquired pleural infection. Thorax. 1997;52:416–21.

    Article  PubMed  CAS  Google Scholar 

  21. Bouros D, Schiza S, Tzanakis N, Chalkiadakis G, Drositis J, Siafakas N. Intrapleural urokinase versus normal saline in the treatment of complicated parapneumonic effusions and empyema. Am J Respir Crit Care Med. 1999;159:37–42.

    PubMed  CAS  Google Scholar 

  22. Thomson AH, Hull J, Kumar MR, Wallis C, Balfour Lynn IM. Randomised trial of intrapleural urokinase in the treatment of childhood empyema. Thorax. 2002;57:343–7.

    Article  PubMed  CAS  Google Scholar 

  23. Ali I, Unruh H. Management of empyema thoracis. Ann Thorac Surg. 1990;50(3):355–9.

    Article  PubMed  CAS  Google Scholar 

  24. Henschke CI, Yankelevitz DF, Davis SD. Pleural diseases: multimodality imaging and clinical management. Curr Probl Diagn Radiol. 1991;20:155–81.

    Article  PubMed  CAS  Google Scholar 

  25. Anderson CB, Philpott GW, Ferguson TB. The treatment of malignant pleural effusions. Cancer. 1974;33:916–22.

    Article  PubMed  CAS  Google Scholar 

  26. Storey DD, Dines DE, Coles DT. Pleural effusion. A diagnostic dilemma. JAMA. 1976;236:2183–6.

    Article  PubMed  CAS  Google Scholar 

  27. Martinez-Moragon E, Aparicio J, Sanchis J, Menendez R. Cruz Rogado M et al. Malignant pleural effusion:prognostic factors for survival and response to chemical pleurodesis in a series of 120 cases. Respiration. 1998;65:108–13.

    Article  PubMed  CAS  Google Scholar 

  28. Hausheer FH, Yarbro JW. Diagnosis and treatment of malignant pleural effusion. Cancer Metastasis Rev. 1987;6:23–40.

    Article  PubMed  CAS  Google Scholar 

  29. Awasthi A, Gupta N, Srinivasan R, Nijhawan R, Rajwanshi A. Cytopathological spectrum of unusual malignant pleural effusions at a tertiary care centre in north India. Cytopathology. 2007;18: 28–32.

    Article  PubMed  CAS  Google Scholar 

  30. Heffner JE. Diagnosis and management of malignant pleural effusions. Respirology. 2008;13:5–20.

    Article  PubMed  Google Scholar 

  31. Lee YC, Baumann MH, Maskell NA, Waterer GW, Eaton TE, et al. Pleurodesis practice for malignant pleural effusions in five English-speaking countries: survey of pulmonologists. Chest. 2003;124: 2229–38.

    Article  PubMed  Google Scholar 

  32. Tan C, Sedrakyan A, Browne J, Swift S, Treasure T. The evidence on the effectiveness of management for malignant pleural effusion: a systematic review. Eur J Cardiothorac Surg. 2006;29:829–38.

    Article  PubMed  Google Scholar 

  33. Katlic MR. Video-assisted thoracic surgery utilizing local anesthesia and sedation. Eur J Cardiothorac Surg. 2006;30:529–32.

    Article  PubMed  Google Scholar 

  34. Shaw P, Agarwal R. Pleurodesis for malignant pleural effusions. Cochrane Database Syst Rev. 2004;1:CD002916.

    Google Scholar 

  35. Dresler CM, Olak J, Herndon II JE, Richards WG, Scalzetti E, et al. Phase III intergroup study of talc poudrage vs talc slurry sclerosis for malignant pleural effusion. Chest. 2005;127:909–15.

    Article  PubMed  Google Scholar 

  36. Arapis K, Caliandro R, Stern JB, Girard P, Debrosse D, et al. Thoracoscopic palliative treatment of malignant pleural effusions: results in 273 patients. Surg Endosc. 2006;20:919–23.

    Article  PubMed  CAS  Google Scholar 

  37. Brega-Massone PP, Lequaglie C, Magnani B, Ferro F, Cataldo I. Chemical pleurodesis to improve patients’ quality of life in the management of malignant pleural effusions. The 15 year experience of the National Cancer Institute of Milan. Surg Laparosc Endosc Percutan Tech. 2004;14:73–9.

    Article  PubMed  Google Scholar 

  38. Cardillo G, Facciolo F, Carbone L, Regal M, Corzani F, et al. Long-term follow-up of video-assisted talc pleurodesis in malignant recurrent pleural effusions. Eur J Cardiothorac Surg. 2002;21:302–5; discussion 5–6.

    Google Scholar 

  39. Crnjac A. The significance of thoracoscopic mechanical pleurodesis for the treatment of malignant pleural effusions. Wien Klin Wochenschr. 2004;116 Suppl 2:28–32.

    PubMed  Google Scholar 

  40. Gasparri R, Leo F, Veronesi G, Depas T, Colleoni M, et al. Video-assisted management of malignant pleural effusion in breast carcinoma. Cancer. 2006;106:271–6.

    Article  PubMed  Google Scholar 

  41. Marrazzo A, Noto A, Casa L, Taormina P, Lo Gerfo D, et al. Video-thoracoscopic surgical pleurodesis in the management of malignant pleural effusion: the importance of an early intervention. J Pain Symptom Manage. 2005;30:75–9.

    Article  PubMed  Google Scholar 

  42. Trotter D, Aly A, Siu L, Knight S. Video-assisted thoracoscopic (VATS) pleurodesis for malignant effusion: an Australian teaching hospital’s experience. Heart Lung Circ. 2005;14:93–7.

    Article  PubMed  Google Scholar 

  43. van den Toorn LM, Schaap E, Surmont VF, Pouw EM, van der Rijt KC, et al. Management of recurrent malignant pleural effusions with a chronic indwelling pleural catheter. Lung Cancer. 2005;50:123–7.

    Article  PubMed  Google Scholar 

  44. Putnam Jr JB, Light RW, Rodriguez RM, Ponn R, Olak J, et al. A randomized comparison of indwelling pleural catheter and doxycycline pleurodesis in the management of malignant pleural effusions. Cancer. 1999;86:1992–9.

    Article  PubMed  Google Scholar 

  45. Putnam Jr JB, Walsh GL, Swisher SG, Roth JA, Suell DM, et al. Outpatient management of malignant pleural effusion by a chronic indwelling pleural catheter. Ann Thorac Surg. 2000;69:369–75.

    Article  PubMed  Google Scholar 

  46. Pollak JS, Burdge CM, Rosenblatt M, Houston JP, Hwu WJ, et al. Treatment of malignant pleural effusions with tunneled long-term drainage catheters. J Vasc Interv Radiol. 2001;12:201–8.

    Article  PubMed  CAS  Google Scholar 

  47. Tremblay A, Michaud G. Single-centre experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion. Chest. 2006;129:362–8.

    Article  PubMed  Google Scholar 

  48. Pien GW, Gant MJ, Washam CL, Sterman DH. Use of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusion. Chest. 2001;119:1641–6.

    Article  PubMed  CAS  Google Scholar 

  49. Musani AI, Haas AR, Seijo L, Wilby M, Sterman DH. Outpatient management of malignant pleural effusions with small-bore, tunneled pleural catheters. Respiration. 2004;71:559–66.

    Article  PubMed  Google Scholar 

  50. Ohm C, Park D, Vogen M, Bendick P, Welsh R, et al. Use of an indwelling pleural catheter compared with thorascopic talc pleurodesis in the management of malignant pleural effusions. Am Surg. 2003;69:198–202; discussion.

    Google Scholar 

  51. Flores RM, Rusch VW. Diffuse malignant mesothelioma. In: Shields TW, Ponn LJ, RB RVW, editors. General thoracic surgery. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 901–21.

    Google Scholar 

  52. Vogelzang NJ, Rusthoven JJ, Symanowski J, et al. Phase III study of pemetrexed in combination with cisplatin versus cisplatin alone in patients with malignant pleural mesothelioma. J Clin Oncol. 2003;21:2636–44.

    Article  PubMed  CAS  Google Scholar 

  53. Flores RM, Pass HI, Seshan VE, Dycoco J, Zakowski M, Carbone M, et al. Extrapleural pneumonectomy versus pleurectomy/decortications in the surgical management of malignant pleural mesothelioma: results in 663 patients. J Thorac Cardiovasc Surg. 2008;135(3):620–6.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Mount Sinai Medical Center, 1275 York Avenue, New York, NY, 10021, USA

    Raja M. Flores

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  1. Raja M. Flores
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  2. Naveed Z. Alam
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Correspondence to Raja M. Flores .

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Editors and Affiliations

  1. , Department of Thoracic Surgery, Geisinger Wyoming Valley Medical Center, 1000 East Mountain Drive, Wilkes-Barre, 18711, Pennsylvania, USA

    Mark R. Katlic

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Flores, R.M., Alam, N.Z. (2011). Surgery for Pleural Disease in the Elderly. In: Katlic, M. (eds) Cardiothoracic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0892-6_48

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  • DOI: https://doi.org/10.1007/978-1-4419-0892-6_48

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