Extended pleurectomy and decortication: Video atlas of operative steps
نویسندگان
چکیده
منابع مشابه
Surgical treatment for malignant pleural mesothelioma: extrapleural pneumonectomy, pleurectomy/decortication or extended pleurectomy?
Malignant pleural mesothelioma (MPM) is an asbestos-related disease with a dismal prognosis. Ethic, social, legal and economic parameters are implicated in its management. It is quite clear that multimodality therapy is necessary to improve long-term results but precise treatment schemes have not yet been equivocally accepted. The extent of surgery is questioned and radical operations are highl...
متن کاملVideo-atlas of radical pleurectomy for malignant pleural mesothelioma.
Malignant pleural mesothelioma (MPM) is an aggressive malignancy arising from the mesothelial surfaces of the pleura. Macroscopic complete resection (MCR) seems to have the greatest impact on survival in surgery-based multimodality treatment protocols (1). Depending on the surgical preference and intraoperative findings, extrapleural pneumonectomy (EPP) or aggressive radical pleurectomy (RP) or...
متن کاملPharmacokinetics of Hyperthermic Intrathoracic Chemotherapy following Pleurectomy and Decortication
In patients with pseudomyxoma peritonei or peritoneal mesothelioma, direct extension of disease through the hemidiaphragm may result in an isolated progression of tumor within the pleural space. We monitored the intrapleural and plasma levels of mitomycin C and doxorubicin by HPLC assay in order to determine the pharmacokinetic behavior of this intracavitary use of chemotherapy. Our results sho...
متن کاملThe role of video assisted thoracoscopic pleurectomy/decortication in the therapeutic management of malignant pleural mesothelioma.
OBJECTIVE Extrapleural pneumonectomy (EPP) has high mortality and morbidity; radical pleurectomy decortication (P/D) carries less mortality but still significant morbidity. This surgery is not suitable for many patients with malignant pleural mesothelioma (MPM) for whom video assisted thoracic surgery (VATS) offers a minimally invasive alternative. We aimed to assess the role of VATS decorticat...
متن کاملExtrapleural pneumonectomy or pleurectomy/decortication for malignant pleural mesothelioma
Malignant pleural mesothelioma (MPM) is associated with a very poor prognosis. Unlike other solid tumors, any type of planned surgery for MPM would be cytoreductive rather than radical. There are two types of surgery for MPM. Extrapleural pneumonectomy (EPP) involves en bloc resection of the lung, pleura, pericardium, and diaphragm. Pleurectomy/decortication (P/D) is a lung-sparing surgery that...
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ژورنال
عنوان ژورنال: JTCVS Techniques
سال: 2021
ISSN: 2666-2507
DOI: 10.1016/j.xjtc.2021.01.044