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Prognosis

What is the prognosis?

  •  Median survival time after video-assisted thoracic surgery (VATS) talc pleurodesis for MPE is approximately 10.5 months, with a range from a few days to over 5 years in selected cases.

  • Other studies report median survival after pleurodesis ranging from 3 to 12 months, commonly around 10 to 12 months

  • Presence of extrathoracic metastasis and duration of disease over 12 months also correlate with increased mortality risk, although these may vary in significance.

  • One-year survival rates after VATS talc pleurodesis are about 44%, with 3- and 5-year survival rates of roughly 10% and 2%, respectively. 

What are the chances of a second surgery?

  •  After video-assisted thoracoscopic surgery (VATS) pleurodesis with blebectomy and pleurectomy for spontaneous pneumothorax, the long-term recurrence rate is around 6.0%. 

  • Female gender and prolonged air leakage (>7 days postoperatively) significantly increase the risk of recurrence and subsequent surgery

For more information

Information on prognosis

Information on second surgery​

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