%0 Journal Article
%T Surgical properties and survival of a pericardial window via left minithoracotomy for benign and malignant pericardial tamponade in cancer patients
%A Sezai Celik
%A Muharrem Celik
%A Bulent Aydemir
%A Handan Tanr£¿kulu
%A Tamer Okay
%A Nur£¿en Tanr£¿kulu
%J World Journal of Surgical Oncology
%D 2012
%I BioMed Central
%R 10.1186/1477-7819-10-123
%X 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.Forty-eight patients (64.7% male), with a mean age of 55.20£¿¡À£¿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£¿¡À£¿1.79 months. One- and 2-year survival rates were 45£¿¡À£¿7% and 18£¿¡À£¿5%, respectively.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.
%K Pericardial tamponade
%K Pericardial window
%K Cancer patients
%K Long-term survival
%U http://www.wjso.com/content/10/1/123/abstract