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. 2017 Jun;5(11):246.
doi: 10.21037/atm.2017.04.03.

Pleurectomy and decortication

Tedi Vlahu  1 , Wicki T Vigneswaran  1
Affiliations

Pleurectomy and decortication

Tedi Vlahu et al. Ann Transl Med. 2017 Jun.

Abstract

Pleurectomy and decortication (P/D) improve survival and quality of life in selected patients with malignant pleural mesothelioma. The operative procedure was not standardized until recently. The goal of the operation is to perform a macroscopic complete resection of the tumor. This often involves resection of the parietal and visceral pleura and invariably a partial or complete resection and prosthetic reconstruction of ipsilateral hemidiaphragm. We describe our operative planning and technique as well as outcomes of P/D reported in current literature.

Keywords: Malignant pleural mesothelioma; macroscopic complete resection; pleurectomy and decortication (P/D).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
(A) Mobilization of the parietal pleura from the chest wall (B) & (C) en-bloc dissection of parietal and visceral pleura from the underlying lung (D) dissection of visceral pleura in the fissures between lobes.
See this image and copyright information in PMC

References

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