[Radical surgery for mesothelioma].
Good results obtained by the team from Boston increased the interest in pleuropneumonectomy for mesothelioma. Adjuvant high-dose hemithoracic radiation after surgical resection decreased the local recurrence rate from 35 to 13%. The high rate of peritoneal (26-31%), controlateral pleural and pericardial recurrences justify the routine practice of preoperative laparoscopy and controlateral thoracoscopy and a pleuropneumonectomy without pericardotomy and diaphragmatic resection. The diaphragm is lowered to facilitate radiotherapy. Chemotherapy may be performed postoperatively.
Bonnette
P
P
Service de chirurgie thoracique, hôpital Foch, 40, rue Worth, 92151 Suresnes, France. p.bonnette@hopital-foch.org
D017024:Chemotherapy, Adjuvant; D006801:Humans; D010535:Laparoscopy; D008654:Mesothelioma / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D010994:Pleura / Q000601:surgery; D010997:Pleural Neoplasms / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy; D018714:Radiotherapy, Adjuvant; D013906:Thoracoscopy