Light R. W. Counterpoint: should thoracoscopic talc pleurodesis be the first choice management for malignant pleural effusion? // Chest. 2012. <...> Diagnosis and treatment of malignant pleural effusion: a systematic literature review and new approaches // Am. <...> Neragi-Miandoab S. Malignant pleural effusion, current and evolving approaches for its diagnosis and management // Lung Cancer. 2006. <...> Treatment of malignant pleural effusion: a cost-effectiveness analysis // Ann. <...> Management of malignant pleural effusion associated with trapped lung syndrome // Asian Cardiovasc. <...> Reddy C., Ernst A., Lamb C., Feller-Kopman D. Rapid pleurodesis for malignant pleural effusions: a pilot study // Chest. 2011. <...> Zahid I., Routledge T., Bille A., Scarci M., What is the best treatment for malignant pleural effusions? // Interact. <...> V. Kirillov3, G. N. Volgin4 THE ASSESSMENT OF SURGICAL TREATMENT OF PATIENTS WITH MALIGNANT PLEURAL EFFUSION 1 The department of physiopulmunology and thoracic surgery, 2 The department of faculty surgery of North-Western Mechnikov State Medical University, Saint-Petersburg; 3 Almazov federal centre of the heart, blood and endocrinology; 4 Municipal hospital of Saint Elizabeth An analysis of results of 498 patients with malignant pleural effusion was made. <...> All patients were divided into three groups depending on methods of treatment: in the first group of patients the puncture of pleural cavity and the evacuation of liquid were made against the background of complex treatment; in the second group of patients the thoracocentesis and suspension induction were performed; in the third group the video thoracoscopy was carried out. <...> In an assessment of each method of treatment, the researchers came to the conclusion that in case when the patient had the sufficient functional capabilities, the doctors should give preference to the thoracoscopy operations and in case of severe somatic status the doctors should give preference to the drainage of pleural cavity with release from exudates and with subsequent introduction of talc as the most effective sclerosing agent. <...> Злокачественный плевральный выпот (ЗПВ), как следствие метастатического поражения плевры, является частым (до 25%) осложнением диссемииацнн онкологических заболевании! <...>