6533b829fe1ef96bd1289b70

RESEARCH PRODUCT

Thoracic shaping technique to avoid residual space after extended pleurectomy/decortication

Servet BölükbasMichael EberleinJoachim Schirren

subject

MaleMesotheliomaPulmonary and Respiratory Medicinemedicine.medical_specialtyLung Neoplasmsmedicine.medical_treatmentDiaphragmResidualPleurectomy decorticationmedicineHumansMesotheliomaPneumonectomyAgedLungThoracic cavitybusiness.industryMesothelioma MalignantGeneral MedicineThoracic Surgical Proceduresrespiratory systemDecorticationmedicine.diseaserespiratory tract diseasesDiaphragm (structural system)Surgerymedicine.anatomical_structureSurgeryCardiology and Cardiovascular MedicinebusinessOrgan Sparing TreatmentsPleurectomy

description

Extended pleurectomy/decortication or radical pleurectomy is defined as a lung-sparing surgical procedure for malignant pleural mesothelioma. A significant size mismatch between the thoracic cavity and the reduced size of the remaining lung might occur as a result of multiple resections at different sites and lead to residual thoracic space. Residual thoracic space and significant air leakage might result in postoperative complications. A simple technique of diaphragm reconstruction to avoid the residual thoracic space and to reduce the incidence of postoperative complications is described.

https://doi.org/10.1093/ejcts/ezt082