title: [Surgical therapy of malignant pleural mesothelioma].
abstract: Malignant pleural mesothelioma (MPM) is a rare and aggressive tumor disease, which rapidly leads to death if untreated. In Germany the incidence of newly occurring disease is expected to reach a peak in the coming 5 years. An R0 resection for MPM is technically impossible; therefore, the aim of surgical procedures is to achieve the maximum amount of cytoreduction. There are two established surgical techniques for treatment of MPM, extrapleural pneumonectomy and tumor pleurectomy with decortication. The type and extent of surgery are currently controversially discussed. Within multimodal therapy concepts including cytoreductive surgery, long-term remission is possible in selected patients. When choosing the appropriate surgical therapy the high incidence of recurrence has to be borne in mind.
authors.affiliation: Klinik für Thoraxchirurgie, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schirren
authors.affiliation: Klinik für Thoraxchirurgie, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Sponholz
authors.affiliation: Klinik für Thoraxchirurgie, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Oguzhan
authors.affiliation: Institut für Pathologie und Zytologie, Helios Dr. Horst Schmidt Kliniken Wiesbaden, Wiesbaden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Fisseler-Eckhoff
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Helios Dr. Horst Schmidt Kliniken Wiesbaden, Wiesbaden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Fischer
authors.affiliation: Klinik für Thoraxchirurgie, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland. Joachim.schirren@helios-kliniken.de.
authors.forename: J
authors.initials: J
authors.lastname: Schirren
mesh_terms: D065426:Cytoreduction Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008654:Mesothelioma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000209:etiology; D009367:Neoplasm Staging; D010994:Pleura / Q000473:pathology / Q000601:surgery*; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D013908:Thoracotomy / Q000379:methods
keywords: Cytoreductive surgical procedure; Decortication; Pleura; Pneumonectomy; Recurrence