title: Thoracic shaping technique to avoid residual space after extended pleurectomy/decortication.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Dr.-Horst-Schmidt-Klinik (Teaching Hospital of Johannes Gutenberg University, Mainz), Wiesbaden, Germany. servet_boeluekbas@web.de
authors.forename: Servet
authors.initials: S
authors.lastname: Bölükbas
authors.forename: Michael
authors.initials: M
authors.lastname: Eberlein
authors.forename: Joachim
authors.initials: J
authors.lastname: Schirren
mesh_terms: D000368:Aged; D003964:Diaphragm / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008654:Mesothelioma / Q000601:surgery*; D000086002:Mesothelioma, Malignant; D059351:Organ Sparing Treatments / Q000379:methods*; D011013:Pneumonectomy / Q000379:methods*; D019616:Thoracic Surgical Procedures / Q000379:methods*
keywords: Complication; Diaphragm; Mesothelioma; Surgery; Technique