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Updated: Jun 27, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Aerostasis to limit air leak following extended pleurectomy-decortication
An-Lies Provoost1,2, Andreas Bouckaert1,2, Cedric Vanluyten1,2
1Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Abstract:
Extended pleurectomy-decortication is a cytoreductive surgical treatment for malignant pleural mesothelioma. Prolonged air leak remains a major postoperative challenge, lengthening hospital stay and increasing morbidity. In this video report, we present a stepwise approach for visceral decortication and introduce the concept of aerostasis by construction of an artificial neopleura. Our results suggest that improved aerostasis results in shortened air leak duration.
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