Abstract
Caring for patients undergoing lung-sparing surgery for malignant pleural mesothelioma is clinically challenging. It takes an experienced, highly skilled, and dedicated multidisciplinary team of thoracic surgery experts to care for these patients and their families. There are inherent challenges associated with the preoperative and postoperative care of patients undergoing lung-sparing surgery, beyond those commonly experienced in the general thoracic surgery patient population. Meticulous attention to every detail of their care and anticipating the common problems encountered postoperatively will support a patient’s successful recovery and ensure that they are safely discharged home from the hospital. This chapter will focus on the key elements the surgical team needs to focus on before, during, and after lung-sparing surgery for malignant pleural mesothelioma.
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References
Ambrogi M, et al. Diaphragm and lung-preserving surgery with hyperthermic chemotherapy for malignant pleural mesothelioma: a 10-year experience. J Thorac Cardiovasc Surg. 2018;155:1857–66.
Bolukbas S, Eberlein M, Schirren J. Prospective study of functional results after lung-sparing radical pleurectomy in the malignant pleural mesothelioma. J Thorac Oncol. 2012;7(5):900–5.
Cardinale D, Martinoni A, et al. Atrial fibrillation after operation for lung cancer: clinical and prognostic significance. Ann Thorac Surg. 2010;90(2):368–74.
Fernado H, Jaklitsch M, Walsh G, et al. The Society of Thoracic Surgeons practice guideline on the prophylaxis and management of atrial fibrillation associated with general thoracic surgery: executive summary. Ann Thorac Surg. 2011;92:1144–52.
Fiore J, et al. Systematic review of the influence of enhanced recovery pathways in elective lung resection. J Thorac Cardiovasc Surg. 2016;151(3):708–16.
Flores R. Surgical options in malignant pleural mesothelioma: extrapleural pneumonectomy or pleurectomy/decortication. Semin Thorac Cardiovasc Surg. 2009;21(2):149–76.
Friedberg JS. State of the art in the technical performance of lung sparing operations for pleural mesothelioma. Sem Thorac Cardiovasc Surg. 2013;25(2, Summer):125–43.
Friedberg JS, Simone C, Culligan M, Barsky A, Doucette A, McNulty S, Hahn SM, Alley E, Sterman E, Cengel K. Extended pleurectomy/decortication-based treatment for advanced stage, large tumor volume mesothelioma yielding a median survival of 3 years. Ann Thorac Surg. 2017;103(3):912–9.
Gronell J, Holleran C, Mintz E, Wiesel O. Postoperative bedside critical care of thoracic surgery patients. Am J Crit Care. 2018;27(4):328–33.
Jones L, Peddle C, Eves N, et al. Effects of pre-surgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung diseases. Cancer. 2007;110(3):590–9.
McCambridge A, et al. Progress in the management of malignant pleural mesothelioma in 2017. J Thorac Oncol. 2018;13(5):606–23.
Murphy D, Gill R. Overview of treatment related complications in malignant pleural mesothelioma. Ann Trans Med. 2017;5(11):235.
Papaspyros S. Surgical management of malignant pleural mesothelioma: impact of surgery on survival and quality of life – relation to chemotherapy, radiotherapy and alternative therapies. ISRN Surg. 2014;1–19.
Pleurectomy/Decortication. Hyperthermic pleural lavage with povidone-iodine, prophylactic radiotherapy and systemic chemotherapy in patients with malignant pleural mesothelioma: a 10-year experience. J Thorac Cardiovasc Surg. 2015;149:558–66.
Post-operative Care to Promote Recovery for Thoracic Surgical Patients. A nursing perspective. J Thorac Dis. 2016;8(Suppl 1):S71–7.
Sharkey A, Bilancia R, Tenconi S, Nakas A, Waller D. Extended pleurectomy decortication for malignant pleural mesothelioma in the elderly: the need for an inclusive yet selective approach. Interact Cardiovasc Thorac Surg. 2017;25:696–702.
Williams T, Duraid H, Watson S, Durkin A, Todd K, Kindler H, Vigneswaran W. Extended pleurectomy and decortication for malignant pleural mesothelioma is an effective and safe cytoreductive surgery in the elderly. Ann Thorac Surg. 2015;100:1868–74.
Yegin A, Erdogan A, Kayacan N, Karsli B. Early postoperative pain management after thoracic surgery: pre- and postoperative versus postoperative epidural analgesia: a randomized study. Eur J Cardiothorac Surg. 2003;24:420–4.
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Culligan, M., Friedberg, J.S. (2019). Care of the Mesothelioma Patient Undergoing Extended Pleurectomy and Decortication. In: Hesdorffer, M., Bates-Pappas, G. (eds) Caring for Patients with Mesothelioma: Principles and Guidelines. Springer, Cham. https://doi.org/10.1007/978-3-319-96244-3_8
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DOI: https://doi.org/10.1007/978-3-319-96244-3_8
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