This multimodal approach leads to the best results in. As neither epp nor p/d obtain microscopic complete. Pleurectomy and decortication is often offered to patients not healthy enough to undergo pneumonectomy or to patients whose tumors require a less extensive amount of resection.
Pleurectomy And Decortication (P/D) Improve Survival And Quality Of Life In Selected Patients With Malignant Pleural Mesothelioma.
Pleurectomy and decortication is usually combined with other treatments such as chemotherapy and radiation. Surgeons remove the pleura, the tissue surrounding a lung, followed by. This is a surgical procedure that removes the thickened, diseased pleura lining the chest wall (pleurectomy) along with visible tumor on the surface of the lung (decortication).
Decortication Is The Second Part Of The Procedure And Removes Parts Of The Lung.
Surgeons open the chest cavity while the patient is under general anesthesia. Pleurectomy with decortication (p/d) is one of two surgical procedures used to treat pleural mesothelioma. Pleurectomy refers to the removal of the pleura, and decortication derives from the latin term for removing the “cortex,” or rind, surrounding the lung.
The Management Of Malignant Pleural Mesothelioma (Mpm) Consists Of A Multidisciplinary Approach With Chemotherapy, Surgery, And Radiotherapy In Selected Cases.
We analysed a series of malignant pleural mesothelioma (mpm) patients who consecutively underwent extended pleurectomy/decortication (ep/d) in a centre. Pleurectomy and decortication is a type of thoracic surgery used to help people with pleural mesothelioma, which is a type of cancer caused by asbestos exposure that damages the lining. Rintoul rc, ritchie aj, edwards jg, et al.
Surgery Is Performed As Multimodality Therapy In Mpm, Combining Extrapleural Pneumonectomy (Epp) And Pleurectomy/Decortication (P/D).
The procedure of choice when possible. Mechanical or chemical induction of scarring between the pleural layers in order to prevent the accumulation of fluid total parietal. Pleurectomy with decortication for mesothelioma takes around 2‑4 hours.