Extrapleural Pneumonectomy for Early-Stage Diffuse Malignant Pleural Mesothelioma

2009 ◽  
pp. 512-523
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Early Stage ◽  
Extrapleural Pneumonectomy ◽  
Pleural Mesothelioma ◽  
Diffuse Malignant Pleural Mesothelioma

Extrapleural Pneumonectomy for Malignant Pleural Mesothelioma: A Novel Mini-Invasive Technique

2016 ◽  
Vol 11 (6) ◽  
pp. 444-447
Author(s):  
Francesco Paolo Caronia ◽  
Alfonso Fioretti ◽  
Mario Santini ◽  
Ettore Arrigo
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Early Stage ◽  
Skin Incision ◽  
Intercostal Space ◽  
Resected Specimen ◽  
Invasive Technique ◽  
Extrapleural Pneumonectomy ◽  
Pleural Mesothelioma ◽  
Sixth Intercostal Space

We report a novel less-invasive extrapleural pneumonectomy for early-stage malignant pleural mesothelioma without rib spreading. Our approach is unique and differed from the previously reported cases, because we used one skin incision and two small intercostal incisions with videothoracoscopic viewing without rib spreading. The pleural dissection and approach to the hilum for pneumonectomy were performed through a 4- to 5-cm port incision in the sixth intercostal space. Another 4- to 5-cm port was made in the eight intercostal space through the same skin incision and was used for diaphragm resection and reconstruction. At the end of the surgery, the skin incision was enlarged to 8 cm; through which and the first port in the sixth intercostal space, the resected specimen was retrieved. Three cycles of adjuvant chemotherapy followed by radiation therapy were administered. Eleven-month follow-up showed no recurrence.

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