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Pleurectomy for mesothelioma.

R P Brancatisano1, M G Joseph, B C McCaughan

  • 1Department of Surgery, Repatriation General Hospital Concord, NSW.

The Medical Journal of Australia
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

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Parietal pleurectomy effectively diagnoses pleural mesothelioma and controls fluid buildup, offering palliation. Early thoracotomy is recommended for better outcomes in these patients.

Area of Science:

  • Thoracic Surgery
  • Oncology
  • Pulmonology

Background:

  • Pleural mesothelioma diagnosis and fluid management are critical for patient outcomes.
  • Parietal pleurectomy is a surgical option for pleural mesothelioma.

Purpose of the Study:

  • To evaluate the efficacy and safety of parietal pleurectomy for diagnosing pleural mesothelioma.
  • To assess its role in controlling pleural fluid accumulation and achieving palliation.

Main Methods:

  • Retrospective review of 50 consecutive patients with pleural mesothelioma undergoing thoracotomy.
  • Subtotal parietal pleurectomy performed in 45 patients; decortication in 28.

Main Results:

  • One postoperative death (2% mortality) and 16% morbidity.

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  • Median survival of 16 months; 21% survival beyond two years.
  • Effective pleural fluid control with only one reaccumulation.

    • Conclusions:

    • Parietal pleurectomy, with decortication, provides accurate diagnosis and effective pleural fluid control for mesothelioma palliation.
    • Early thoracotomy is advocated for improved patient management.