Thoracic shaping technique to avoid residual space after extended pleurectomy/decortication

Servet Bölükbas, Michael Eberlein, Joachim Schirren
European Journal of Cardio-thoracic Surgery 2013, 44 (3): 563-4
Extended pleurectomy/decortication or radical pleurectomy is defined as a lung-sparing surgical procedure for malignant pleural mesothelioma. A significant size mismatch between the thoracic cavity and the reduced size of the remaining lung might occur as a result of multiple resections at different sites and lead to residual thoracic space. Residual thoracic space and significant air leakage might result in postoperative complications. A simple technique of diaphragm reconstruction to avoid the residual thoracic space and to reduce the incidence of postoperative complications is described.

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