Malignant pleural mesothelioma: outcome of limited surgical management

Open Access

1 March 2003

journal article
Published by Oxford University Press (OUP) in Interactive CardioVascular and Thoracic Surgery

Vol. 2 (1) , 30-34
https://doi.org/10.1016/s1569-9293(02)00093-2

Abstract

This study presents data on limited surgical management of malignant pleural mesothelioma. We reviewed retrospectively 70 cases of the disease managed surgically over a 10 year period. Fifteen patients received only diagnostic direct pleural biopsy, 40 had video-assisted thoracoscopic, pleural biopsy and talc pleurodesis while 15 patients underwent thoracotomy and pleurectomy for disease confined to the pleura. There were two in-hospital deaths. Actuarial survival was significantly longer in the thoracotomy group (median 14 months vs. 6 months in the other two groups, P<0.03). Survival after limited surgical management of malignant mesothelioma is comparable to a previously reported more radical surgical approach.

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