Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Thoracic Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Thorac Cancer. 2022 Jan;13(1):126-128. doi: 10.1111/1759-7714.14231. Epub 2021 Nov 20.
A 70-year-old man diagnosed with right-sided malignant epithelial pleural mesothelioma, underwent pleurectomy/decortication after three courses of neoadjuvant chemotherapy. He had a history of mitral valve replacement and maze procedure with median sternotomy, and the procedures resulted in strong adhesion from the apex to the mediastinal side. In particular, the peeling of the area where the tumor invaded the pericardium required the most attention; however, the involved pericardium could be partially resected without damaging the right atrium. Finally, en bloc macroscopic complete resection with the entire pleura was successfully performed without conversion to extrapleural pneumonectomy.
一位 70 岁男性，诊断为右侧恶性上皮性胸膜间皮瘤，在接受三周期新辅助化疗后接受了胸膜切除术/剥脱术。他曾有过二尖瓣置换和正中开胸迷宫手术史，导致从心尖到纵隔侧的严重粘连。特别是，需要特别注意剥离肿瘤侵犯心包的区域；然而，可以部分切除受累心包而不损伤右心房。最后，成功地整块宏观完全切除整个胸膜，无需转为胸膜外全肺切除术。
