胸膜切除术和纤维板剥脱术。
Pleurectomy and decortication.
作者信息
Vlahu Tedi, Vigneswaran Wicki T
机构信息
Department of Thoracic and Cardiovascular Surgery, Loyola University Health System and Stritch School of Medicine, Maywood, IL, USA.
出版信息
Ann Transl Med. 2017 Jun;5(11):246. doi: 10.21037/atm.2017.04.03.
Abstract
Pleurectomy and decortication (P/D) improve survival and quality of life in selected patients with malignant pleural mesothelioma. The operative procedure was not standardized until recently. The goal of the operation is to perform a macroscopic complete resection of the tumor. This often involves resection of the parietal and visceral pleura and invariably a partial or complete resection and prosthetic reconstruction of ipsilateral hemidiaphragm. We describe our operative planning and technique as well as outcomes of P/D reported in current literature.
摘要
胸膜切除术和纤维板剥脱术（P/D）可提高部分恶性胸膜间皮瘤患者的生存率和生活质量。直到最近，该手术操作才实现标准化。手术的目标是实现肿瘤的宏观完全切除。这通常涉及切除壁层和脏层胸膜，并且不可避免地要对同侧半膈肌进行部分或完全切除及假体重建。我们描述了我们的手术规划和技术以及当前文献中报道的P/D手术结果。
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