Non-incisional pleurectomy-decortication for malignant pleural mesothelioma

Surgery Today
Fumihiro TanakaAkihiro Taira

Abstract

Pleurectomy-decortication (P/D) is lung-sparing surgery with curative intent for malignant pleural mesothelioma (MPM). Visceral pleurectomy is the most challenging step in this procedure. At the beginning of pleurectomy, a sharp pleural incision through the tumor is usually made to create the dissection plane between the visceral pleura and the lung parenchyma, which may cause the spread of tumor cells into the operation field. Here, we describe a sophisticated surgical technique of P/D without any pleural incision ("non-incisional P/D") to achieve en bloc removal of the entire pleura and tumor, which may improve postoperative survival by preventing tumor spread.

References

Oct 14, 2009·Seminars in Thoracic and Cardiovascular Surgery·Raja M Flores
Nov 13, 2013·Seminars in Thoracic and Cardiovascular Surgery·Joseph S Friedberg
Jul 15, 2017·Annals of Translational Medicine·Tedi Vlahu, Wicki T Vigneswaran

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Citations

Jan 15, 2019·General Thoracic and Cardiovascular Surgery·Masaru TakenakaFumihiro Tanaka
Feb 6, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Seiki HasegawaYoshihiro Miyamoto
Nov 19, 2018·General Thoracic and Cardiovascular Surgery·Naoko ImanishiFumihiro Tanaka
May 25, 2021·General Thoracic and Cardiovascular Surgery·Fumihiro TanakaKoji Kuroda

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