Vassilopoulos P P, Nikolaidis K, Filopoulos E, Griniatsos J, Efremidou A
Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, Greece.
Eur J Surg Oncol. 1995 Oct;21(5):545-7. doi: 10.1016/s0748-7983(95)97268-4.
Over the last 5 years, 26 cancer patients developed pericardial effusion and were managed surgically with the creation of a subxiphoidal pericardial 'window'. The operation, in the majority of the cases was performed under local anaesthesia with adequate sedation. It was found to be safe and easy to perform. The operative approach was beneficial to the group of patients without massive involvement by tumour of the thoracic cavity with relief of symptoms. Significant palliation was achieved for the patients with extensive tumour involvement of the mediastinum and thorax, although survival in this group of patients was relatively short.
在过去5年中，26例癌症患者出现心包积液，并通过剑突下心包“开窗”手术进行治疗。在大多数情况下，该手术是在局部麻醉并给予适当镇静的情况下进行的。结果发现该手术安全且易于实施。手术方法对胸腔未被肿瘤大量侵犯的患者群体有益，可缓解症状。对于纵隔和胸部有广泛肿瘤侵犯的患者，虽取得了显著的姑息效果，但该组患者的生存期相对较短。
