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Techniques of pneumonectomy. Pleural pneumonectomy
1Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Chest Surgery Clinics of North America
|June 12, 1999
Summary
This review covers patient selection for extrapleural pneumonectomy and surgical techniques. It also discusses multimodality therapy for malignant pleural mesothelioma (MPM) based on recent data.
Area of Science:
- Thoracic surgery
- Oncology
- Surgical oncology
Background:
- Malignant pleural mesothelioma (MPM) is a rare and aggressive cancer.
- Extrapleural pneumonectomy (EP) is a major surgical procedure for MPM.
- Multimodality therapy offers a comprehensive approach to MPM management.
Purpose of the Study:
- To review preoperative assessment and patient selection for extrapleural pneumonectomy.
- To describe the surgical technique of extrapleural pneumonectomy.
- To present recent data on the experience with multimodality therapy for MPM.
Main Methods:
- Review of preoperative assessment protocols.
- Description of the extrapleural pneumonectomy surgical procedure.
- Analysis of recent clinical data and outcomes for MPM patients.
Main Results:
- Key factors for successful patient selection for EP are identified.
- The technical aspects of EP are detailed.
- Outcomes associated with multimodality therapy for MPM are presented.
Conclusions:
- Optimal patient selection is crucial for successful extrapleural pneumonectomy.
- Multimodality therapy is an important treatment strategy for malignant pleural mesothelioma.
- Further data analysis can refine treatment protocols for MPM.