pleurectomy

Pleural resection is a palliative procedure that aims to remove the parietal pleura and part of the visceral pleura to prevent recurrence of pleural effusion and relieve chest pain. Surgery benefits include low operative mortality (2%) and retention of lung tissue, which allows patients with poor cardiopulmonary function to tolerate surgery. Treatment of diseases: malignant pleural effusion pleural effusion Indication This surgery does not improve the survival time of patients with malignant pleural mesothelioma, but it seems to control pleural effusion and improve the quality of life of patients. In addition, chest pain caused by malignant pleural mesothelioma can sometimes be relieved after resection of the pleura. For patients with suspected malignant pleural mesothelioma, a pleural resection should be considered for a diagnostic thoracotomy. There are a large number of pleural effusions, and cases of chemical pleurodesis failure may also be considered for pleural resection. Surgical procedure Generally, the posterior lateral incision is performed along the sixth intercostal space. The blunt or sharp free wall layer and part of the visceral pleura involved in the tumor are removed from the chest wall and the lungs respectively. This operation causes extensive bleeding and can be sewed. , electrocautery and compression to stop bleeding, in order to prevent damage to the spinal cord or brachial plexus caused by heat conduction, it is best to use high-frequency argon gas knife when removing tumors at the paravertebral and thoracic apex. In particular, be careful to retain the nerves and blood vessels in the top of the chest and in the mediastinum, remove the tumor tissue as much as possible, and reduce its volume, which is conducive to postoperative radiotherapy and chemotherapy.

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