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Surgery Approaches in Mesothelioma

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Asbestos and Mesothelioma

Part of the book series: Current Cancer Research ((CUCR))

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Abstract

The role of surgical resection in malignant pleural mesothelioma (MPM) is controversial, but cancer-directed surgery has yielded long-term survivors and demonstrated 15% 5-year survival. The two operations developed for surgical resection, extrapleural pneumonectomy (EPP), and radical or extended pleurectomy/decortication (P/D) are described. In addition, this chapter summarizes the preoperative, perioperative, and postoperative management of these patients and the results of studies evaluating both procedures. Data and clinical experience suggest that P/D is better tolerated by patients, and evidence suggests survival is not worse. Although EPP is still performed in selected cases, the authors advocate radical P/D for most patients with MPM.

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Conflict of Interest

The authors declare no conflicts of interest to disclose.

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Authors and Affiliations

  1. Mount Sinai Health System, Thoracic Surgery Department, Icahn School of Medicine, New York, NY, 10029-5674, USA

    Andrea Wolf & Raja Flores

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  1. Andrea Wolf
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  2. Raja Flores
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Correspondence to Raja Flores .

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Editors and Affiliations

  1. Cancer Biology Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

    Joseph R. Testa

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Wolf, A., Flores, R. (2017). Surgery Approaches in Mesothelioma. In: Testa, J. (eds) Asbestos and Mesothelioma. Current Cancer Research. Springer, Cham. https://doi.org/10.1007/978-3-319-53560-9_13

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  • DOI: https://doi.org/10.1007/978-3-319-53560-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53558-6

  • Online ISBN: 978-3-319-53560-9

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