[The role of surgery in the treatment of malignant pleural mesothelioma].
The role of surgery in the treatment of diffuse pleural malignant mesothelioma is controversial. The procedures proposed to date are extrapleural pneumonectomy, pleurectomy, and thoracoscopy. External radiation or intraoperative implantation of radioisotopes, chemotherapy and intrapleural treatment with various different agents are also considered as adjuvant therapy. Patient selection, postoperative morbidity and mortality and survival rates are discussed. Our personal series of 72 diffuse pleural malignant mesotheliomas is described: 29 had a palliative operation while 43 underwent radical surgery consisting in 24 extrapleural pneumonectomies and 19 pleurectomies.
Mucilli
Felice
F
UO di Clinica Chirurgica, Scuola di Specializzazione in Chirurgia Toracica, Dipartimento di Scienze Chirurgiche, Università degli Studi G. D'Annunzio, Chieti.
Marolla
Alessandro
A
Camplese
Pierpaolo
P
Cipollone
Giuseppe
G
Sacco
Rocco
R
D006801:Humans; D008654:Mesothelioma / Q000401:mortality / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010166:Palliative Care; D010997:Pleural Neoplasms / Q000401:mortality / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods; D012189:Retrospective Studies; D016019:Survival Analysis