January 17, 2024The Korean Journal of Thoracic and Cardiovascular SurgeryOpen Access

Pericardial Window Operation in Oncology Patients: Analysis of Long-Term Survival and Prognostic Factors

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Why the study?

Long-term outcomes and factors associated with postoperative survival after pericardial window formation for refractory pericardial effusion in cancer patients remained unclear.

Population

166 oncology patients who underwent pericardial window formation

Comparison

Mini-thoracotomy vs thoracoscopy, cancer types, and cytopathological findings

Design

Retrospective cohort study

Follow-up

Median 50.0 months

Authors

SKSung Min KimSamsung Medical Center JLJun Ho LeeKorea University SCSu Ryeun ChungSamsung Medical Center

Discussion

Member takes

Implication

Poor survival after pericardial window in cancer patients highlights selection challenges; retrospective data leaves open optimal timing and candidates.

Structured PICO

Population

166 consecutive adult oncology patients with pericardial effusion (PE), median age 60, 48.8% male, treated at a single center in Korea. Primary cancers included lung (61.4%), breast (9.6%), gastrointestinal (9.0%), hematologic (3.6%), and others. Excluded: patients under 18 years old, those who underwent concurrent thoracic procedures, and those with other etiologies of PE such as infection.

Intervention

Pericardial window formation via either mini-thoracotomy (67.5%) or video-assisted thoracoscopic surgery (VATS) (32.5%)

Outcome

Overall survival (OS), defined as the duration from the date of surgery to the date of death or the last follow-uphard clinical

Pericardial window formation in oncology patients with pericardial effusion is associated with a low recurrence rate, but overall survival remains poor and is strongly dependent on tumor stage and cytopathology.

Limitations

Retrospective design may have introduced biases and confounders
Differences in baseline characteristics between patients who underwent VATS and those who received thoracotomy
Study population initially consisted of patients with clinically suspected malignant pericardial effusion, which may raise questions about the authenticity of the cases as definitive MPE

Cite This Study

Kim et al. (2024) studied this question.

synapsesocial.com/papers/6a7645ca9af63782f5bcb840 https://doi.org/10.5090/jcs.23.113

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Ask AI

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Implication

Poor survival after pericardial window in cancer patients highlights selection challenges; retrospective data leaves open optimal timing and candidates.

Pericardial Window Operation in Oncology Patients: Analysis of Long-Term Survival and Prognostic Factors

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Pericardial Window Operation in Oncology Patients: Analysis of Long-Term Survival and Prognostic Factors

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider