Non-incisional pleurectomy/decortication for malignant pleural mesothelioma
Objective Pleurectomy/decortication has been preferably employed as a curative-intent surgery for malignant pleural mesothelioma. However, visceral pleurectomy during pleurectomy/decortication provides technical challenges. For visceral pleurectomy, pleural incisions are commonly made to create a di...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2021-09, Vol.69 (9), p.1320-1325 |
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| creator | Tanaka, Fumihiro Takenaka, Masaru Imanishi, Naoko Hirai, Ayako Kanayama, Masatoshi Mori, Masataka Matsumiya, Hiroki Taira, Akihiro Shinohara, Shinji Kuroda, Koji |
| description | Objective
Pleurectomy/decortication has been preferably employed as a curative-intent surgery for malignant pleural mesothelioma. However, visceral pleurectomy during pleurectomy/decortication provides technical challenges. For visceral pleurectomy, pleural incisions are commonly made to create a dissection plane between the visceral pleura and the lung parenchyma, which may cause tumor dissemination and may not allow en bloc complete resection of the entire pleura. To overcome such potential disadvantages, we have developed a novel surgical technique without any pleural incision (non-incisional pleurectomy/decortication) to achieve en bloc removal of the entire pleura.
Methods
A total of 36 consecutive patients who underwent non-incisional pleurectomy/decortication for malignant pleural mesothelioma from January 2017 through December 2020 in our institute were retrospectively reviewed to assess the feasibility.
Results
Macroscopic complete resection was achieved in 31 patients (86.1%) with non-incisional pleurectomy/decortication. In the majority of patients (
n
= 29), en bloc complete resection of the entire pleura was achieved (without pleural laceration in 10 and with some pleural laceration in 19 patients). The total operation time and the duration of visceral pleurectomy were significantly shorter as compared with those for conventional pleurectomy/decortication (median, 350 versus 506 min [
P
= 0.011], and 43 versus 97 min [
P
|
| doi_str_mv | 10.1007/s11748-021-01643-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2918741619</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2918741619</sourcerecordid><originalsourceid>FETCH-LOGICAL-c376t-1824202b7b805cc9b954c512aefd1d153b7d24ef092e8c0a576e51451461e9603</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMouK7-AU8LnuNmkuajR1n8wkUveg5pmq5d2mZN0sPurzda0ZswMAPzvMPwIHQJ5BoIkcsIIAuFCQVMQBQMH47QDJRgWEhgx78z4afoLMYtIVwo4DP09OwH3A62ja0fTLfYdW4Mzibf75e1sz6k1pqUd4vGh0VvunYzmCFNXOZ7F316d13re3OOThrTRXfx0-fo7e72dfWA1y_3j6ubNbZMioRB0YISWslKEW5tWZW8sByocU0NNXBWyZoWriEldcoSw6VwHIpcAlwpCJujq-nuLviP0cWkt34M-fuoaQlKFiCgzBSdKBt8jME1ehfa3oS9BqK_pOlJms7S9Lc0fcghNoVihoeNC3-n_0l9Atp-cGs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918741619</pqid></control><display><type>article</type><title>Non-incisional pleurectomy/decortication for malignant pleural mesothelioma</title><source>ProQuest Central (Alumni Edition)</source><source>SpringerNature Journals</source><source>ProQuest Central UK/Ireland</source><source>ProQuest Central</source><creator>Tanaka, Fumihiro ; Takenaka, Masaru ; Imanishi, Naoko ; Hirai, Ayako ; Kanayama, Masatoshi ; Mori, Masataka ; Matsumiya, Hiroki ; Taira, Akihiro ; Shinohara, Shinji ; Kuroda, Koji</creator><creatorcontrib>Tanaka, Fumihiro ; Takenaka, Masaru ; Imanishi, Naoko ; Hirai, Ayako ; Kanayama, Masatoshi ; Mori, Masataka ; Matsumiya, Hiroki ; Taira, Akihiro ; Shinohara, Shinji ; Kuroda, Koji</creatorcontrib><description>Objective
Pleurectomy/decortication has been preferably employed as a curative-intent surgery for malignant pleural mesothelioma. However, visceral pleurectomy during pleurectomy/decortication provides technical challenges. For visceral pleurectomy, pleural incisions are commonly made to create a dissection plane between the visceral pleura and the lung parenchyma, which may cause tumor dissemination and may not allow en bloc complete resection of the entire pleura. To overcome such potential disadvantages, we have developed a novel surgical technique without any pleural incision (non-incisional pleurectomy/decortication) to achieve en bloc removal of the entire pleura.
Methods
A total of 36 consecutive patients who underwent non-incisional pleurectomy/decortication for malignant pleural mesothelioma from January 2017 through December 2020 in our institute were retrospectively reviewed to assess the feasibility.
Results
Macroscopic complete resection was achieved in 31 patients (86.1%) with non-incisional pleurectomy/decortication. In the majority of patients (
n
= 29), en bloc complete resection of the entire pleura was achieved (without pleural laceration in 10 and with some pleural laceration in 19 patients). The total operation time and the duration of visceral pleurectomy were significantly shorter as compared with those for conventional pleurectomy/decortication (median, 350 versus 506 min [
P
= 0.011], and 43 versus 97 min [
P
< 0.001], respectively). Among 36 patients who underwent non-incisional pleurectomy/decortication, postoperative complications developed in 13 patients (36.1%), and one patient died on the postoperative day 95 caused by aggressive tumor progression of residual tumor.
Conclusions
Non-incisional pleurectomy/decortication is a fast and feasible technique to achieve en bloc macroscopic complete resection for malignant pleural mesothelioma.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-021-01643-z</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Cardiac Surgery ; Cardiology ; Chemotherapy ; Dissection ; Medicine ; Medicine & Public Health ; Mesothelioma ; Mortality ; Oncology ; Original Article ; Ostomy ; Patients ; Pericardium ; Surgical Oncology ; Surgical techniques ; Thoracic Surgery</subject><ispartof>General thoracic and cardiovascular surgery, 2021-09, Vol.69 (9), p.1320-1325</ispartof><rights>The Japanese Association for Thoracic Surgery 2021</rights><rights>The Japanese Association for Thoracic Surgery 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-1824202b7b805cc9b954c512aefd1d153b7d24ef092e8c0a576e51451461e9603</citedby><cites>FETCH-LOGICAL-c376t-1824202b7b805cc9b954c512aefd1d153b7d24ef092e8c0a576e51451461e9603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-021-01643-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918741619?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33744,41488,42557,43659,43805,51319,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Tanaka, Fumihiro</creatorcontrib><creatorcontrib>Takenaka, Masaru</creatorcontrib><creatorcontrib>Imanishi, Naoko</creatorcontrib><creatorcontrib>Hirai, Ayako</creatorcontrib><creatorcontrib>Kanayama, Masatoshi</creatorcontrib><creatorcontrib>Mori, Masataka</creatorcontrib><creatorcontrib>Matsumiya, Hiroki</creatorcontrib><creatorcontrib>Taira, Akihiro</creatorcontrib><creatorcontrib>Shinohara, Shinji</creatorcontrib><creatorcontrib>Kuroda, Koji</creatorcontrib><title>Non-incisional pleurectomy/decortication for malignant pleural mesothelioma</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Objective
Pleurectomy/decortication has been preferably employed as a curative-intent surgery for malignant pleural mesothelioma. However, visceral pleurectomy during pleurectomy/decortication provides technical challenges. For visceral pleurectomy, pleural incisions are commonly made to create a dissection plane between the visceral pleura and the lung parenchyma, which may cause tumor dissemination and may not allow en bloc complete resection of the entire pleura. To overcome such potential disadvantages, we have developed a novel surgical technique without any pleural incision (non-incisional pleurectomy/decortication) to achieve en bloc removal of the entire pleura.
Methods
A total of 36 consecutive patients who underwent non-incisional pleurectomy/decortication for malignant pleural mesothelioma from January 2017 through December 2020 in our institute were retrospectively reviewed to assess the feasibility.
Results
Macroscopic complete resection was achieved in 31 patients (86.1%) with non-incisional pleurectomy/decortication. In the majority of patients (
n
= 29), en bloc complete resection of the entire pleura was achieved (without pleural laceration in 10 and with some pleural laceration in 19 patients). The total operation time and the duration of visceral pleurectomy were significantly shorter as compared with those for conventional pleurectomy/decortication (median, 350 versus 506 min [
P
= 0.011], and 43 versus 97 min [
P
< 0.001], respectively). Among 36 patients who underwent non-incisional pleurectomy/decortication, postoperative complications developed in 13 patients (36.1%), and one patient died on the postoperative day 95 caused by aggressive tumor progression of residual tumor.
Conclusions
Non-incisional pleurectomy/decortication is a fast and feasible technique to achieve en bloc macroscopic complete resection for malignant pleural mesothelioma.</description><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Chemotherapy</subject><subject>Dissection</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesothelioma</subject><subject>Mortality</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pericardium</subject><subject>Surgical Oncology</subject><subject>Surgical techniques</subject><subject>Thoracic Surgery</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1LxDAQhoMouK7-AU8LnuNmkuajR1n8wkUveg5pmq5d2mZN0sPurzda0ZswMAPzvMPwIHQJ5BoIkcsIIAuFCQVMQBQMH47QDJRgWEhgx78z4afoLMYtIVwo4DP09OwH3A62ja0fTLfYdW4Mzibf75e1sz6k1pqUd4vGh0VvunYzmCFNXOZ7F316d13re3OOThrTRXfx0-fo7e72dfWA1y_3j6ubNbZMioRB0YISWslKEW5tWZW8sByocU0NNXBWyZoWriEldcoSw6VwHIpcAlwpCJujq-nuLviP0cWkt34M-fuoaQlKFiCgzBSdKBt8jME1ehfa3oS9BqK_pOlJms7S9Lc0fcghNoVihoeNC3-n_0l9Atp-cGs</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Tanaka, Fumihiro</creator><creator>Takenaka, Masaru</creator><creator>Imanishi, Naoko</creator><creator>Hirai, Ayako</creator><creator>Kanayama, Masatoshi</creator><creator>Mori, Masataka</creator><creator>Matsumiya, Hiroki</creator><creator>Taira, Akihiro</creator><creator>Shinohara, Shinji</creator><creator>Kuroda, Koji</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20210901</creationdate><title>Non-incisional pleurectomy/decortication for malignant pleural mesothelioma</title><author>Tanaka, Fumihiro ; Takenaka, Masaru ; Imanishi, Naoko ; Hirai, Ayako ; Kanayama, Masatoshi ; Mori, Masataka ; Matsumiya, Hiroki ; Taira, Akihiro ; Shinohara, Shinji ; Kuroda, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-1824202b7b805cc9b954c512aefd1d153b7d24ef092e8c0a576e51451461e9603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Chemotherapy</topic><topic>Dissection</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesothelioma</topic><topic>Mortality</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pericardium</topic><topic>Surgical Oncology</topic><topic>Surgical techniques</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Fumihiro</creatorcontrib><creatorcontrib>Takenaka, Masaru</creatorcontrib><creatorcontrib>Imanishi, Naoko</creatorcontrib><creatorcontrib>Hirai, Ayako</creatorcontrib><creatorcontrib>Kanayama, Masatoshi</creatorcontrib><creatorcontrib>Mori, Masataka</creatorcontrib><creatorcontrib>Matsumiya, Hiroki</creatorcontrib><creatorcontrib>Taira, Akihiro</creatorcontrib><creatorcontrib>Shinohara, Shinji</creatorcontrib><creatorcontrib>Kuroda, Koji</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Fumihiro</au><au>Takenaka, Masaru</au><au>Imanishi, Naoko</au><au>Hirai, Ayako</au><au>Kanayama, Masatoshi</au><au>Mori, Masataka</au><au>Matsumiya, Hiroki</au><au>Taira, Akihiro</au><au>Shinohara, Shinji</au><au>Kuroda, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-incisional pleurectomy/decortication for malignant pleural mesothelioma</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><date>2021-09-01</date><risdate>2021</risdate><volume>69</volume><issue>9</issue><spage>1320</spage><epage>1325</epage><pages>1320-1325</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Objective
Pleurectomy/decortication has been preferably employed as a curative-intent surgery for malignant pleural mesothelioma. However, visceral pleurectomy during pleurectomy/decortication provides technical challenges. For visceral pleurectomy, pleural incisions are commonly made to create a dissection plane between the visceral pleura and the lung parenchyma, which may cause tumor dissemination and may not allow en bloc complete resection of the entire pleura. To overcome such potential disadvantages, we have developed a novel surgical technique without any pleural incision (non-incisional pleurectomy/decortication) to achieve en bloc removal of the entire pleura.
Methods
A total of 36 consecutive patients who underwent non-incisional pleurectomy/decortication for malignant pleural mesothelioma from January 2017 through December 2020 in our institute were retrospectively reviewed to assess the feasibility.
Results
Macroscopic complete resection was achieved in 31 patients (86.1%) with non-incisional pleurectomy/decortication. In the majority of patients (
n
= 29), en bloc complete resection of the entire pleura was achieved (without pleural laceration in 10 and with some pleural laceration in 19 patients). The total operation time and the duration of visceral pleurectomy were significantly shorter as compared with those for conventional pleurectomy/decortication (median, 350 versus 506 min [
P
= 0.011], and 43 versus 97 min [
P
< 0.001], respectively). Among 36 patients who underwent non-incisional pleurectomy/decortication, postoperative complications developed in 13 patients (36.1%), and one patient died on the postoperative day 95 caused by aggressive tumor progression of residual tumor.
Conclusions
Non-incisional pleurectomy/decortication is a fast and feasible technique to achieve en bloc macroscopic complete resection for malignant pleural mesothelioma.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><doi>10.1007/s11748-021-01643-z</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | General thoracic and cardiovascular surgery, 2021-09, Vol.69 (9), p.1320-1325 |
| issn | 1863-6705 1863-6713 |
| language | eng |
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| source | ProQuest Central (Alumni Edition); SpringerNature Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Cardiac Surgery Cardiology Chemotherapy Dissection Medicine Medicine & Public Health Mesothelioma Mortality Oncology Original Article Ostomy Patients Pericardium Surgical Oncology Surgical techniques Thoracic Surgery |
| title | Non-incisional pleurectomy/decortication for malignant pleural mesothelioma |
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