Ripley R Taylor
Department of Surgery, Division of General Thoracic Surgery, The Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Thorac Surg Clin. 2020 Nov;30(4):451-460. doi: 10.1016/j.thorsurg.2020.07.002. Epub 2020 Sep 12.
Extended pleurectomy and decortication (ePD) is a difficult operation performed for the surgical resection of malignant pleural mesothelioma that can achieve a macroscopic complete resection with preservation of the lung. With lower perioperative mortality, similar long-term survival, and better tolerance in patients with lower performance status, ePD has become the preferred operation rather than extrapleural pneumonectomy despite lack of a direct comparison. As ePD has become more popular, international collaboration is underway to create surgical guidelines based on collection of operative data. These efforts will improve the safety and standardization of this operation.
扩大性胸膜切除术和纤维板剥脱术（ePD）是一种用于手术切除恶性胸膜间皮瘤的复杂手术，该手术能够在保留肺的情况下实现宏观上的完整切除。由于围手术期死亡率较低、长期生存率相似，且对身体状况较差的患者耐受性更好，尽管缺乏直接比较，但ePD已成为比胸膜外全肺切除术更受青睐的手术方式。随着ePD越来越普及，国际合作正在开展，旨在通过收集手术数据制定手术指南。这些努力将提高该手术的安全性和标准化程度。
