title: Modification of the surgical procedure to enable the complete resection of lung cancer with carcinomatous pleuritis.
abstract: Carcinomatous pleuritis, accompanied by pleural dissemination or malignant pleural effusion, is listed as one of the factors limiting adequate surgical treatment. It is relatively easy to peel the parietal pleura of the chest wall and mediastinum during a pleuropneumonectomy, but it is quite difficult to peel the parietal pleura of the diaphragm. A pleuropneumonectomy was conducted with the combined resection of the pericardium and all layers of the diaphragm without opening of the peritoneum through a posterolateral subcostal approach. This approach thus made it possible to perform a complete resection of the diaphragm relatively easily in a reliable manner, and also contributed to a more thorough resection of pleural dissemination without a second thoracotomy.
authors.affiliation: Department of Surgery, KKR Hokuriku Hospital, 2-13-43 Izumigaoka, Kanazawa 921-8035, Japan.
authors.forename: Junzo
authors.initials: J
authors.lastname: Shimizu
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Arano
authors.forename: Chikako
authors.initials: C
authors.lastname: Ikeda
authors.forename: Iwao
authors.initials: I
authors.lastname: Adachi
authors.forename: Norihiko
authors.initials: N
authors.lastname: Ishikawa
authors.forename: Yasumitsu
authors.initials: Y
authors.lastname: Hirano
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Minato
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D010994:Pleura / Q000601:surgery*; D016066:Pleural Effusion, Malignant / Q000150:complications*; D010997:Pleural Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D010998:Pleurisy / Q000150:complications*; D011013:Pneumonectomy / Q000379:methods*