The operation is one of the main therapeutic modalities used in the treatment of mesothelioma. There are a number of procedures available and the decisions doctors make will be based on each individual patient's presentation. Important factors to be considered will include the overall treatment strategy, disease histology, location and stage, and patient general health and performance status. Improvements in surgical techniques and postoperative care have resulted in higher "success" for many of these procedures rate, as well as a large reduction in perioperative mortality and post-surgery. However, serious complications still occur, so the decision to conduct extensive operations should always be very clear.
Mesothelioma Treatments: Surgery - Surgical Strategies
There are two main surgical strategies used in the management of mesothelioma: palliative surgery and surgery with curative intent. The use of this term in describing a similar surgery to explain the overall treatment strategy. Palliative surgery is a procedure to treat certain symptoms of mesothelioma, without aggressively treating the disease itself. Running this operation, starting from a low-impact, supporting the treatment of symptoms of the disease aggressive efforts of individual control (although the underlying disease itself will not be treated with aggressive).
The purpose of the operation with a curative goal is to remove a malignant tumor as possible. Ideally, this would mean that all cancer is removed, but the disease is a complex pattern of growth makes complete elimination of a very difficult task. Unlike other cancers that present as individually-identified tumors with clear boundaries between tumor and surrounding tissue, appear as diffuse mesothelioma malignancies that spread to the entire surface area. This usually appears as a layer-like layers of malignant tissue created by a large number of individual tumors, too many to remove individually. The boundaries between the malignant (s) and surrounding healthy tissue is often not clear, which can complicate the decision on where to start the extraction, and obscures the true infiltration rates. This means that the disease can remain hidden after resection. Occult disease refers to the microscopic cancer cells are hidden or too small to be seen during surgery or post-operative analysis, but is still alive and still able to grow. When the mysterious disease was present, which mesothelioma will continue to grow and to come back unless some kind of post-operative care is trying to eradicate these cells.
In light of this problem, mesothelioma experts have concluded that surgery is rarely effective as single modality therapy, and that it must be combined with other treatment modalities to maximize patient survival time. The purpose of the surgery, then, is to achieve complete resection, macroscopically, which refers to the elimination of all visible tumor cells, and then adjuvant therapy will be used to treat potentially occult disease.
Mesothelioma Treatments: Surgery - Surgery with Curative Intent
There are two operations with the intention curative attempt for the treatment of pleural mesothelioma: pleurectomy-decortication and extrapleural pneumonectomy. They are very-invasive procedures are indicated by the amount of tissue resection and extensive radical surgery was considered a term used to describe procedures that require invasive measures significantly. Because mesothelioma is not curable, this procedure is sometimes called procedures prolong life.
The following section contains a brief description of each procedure and the links to learn more about it.
Extrapleural pneumonectomy
An extrapleural pneumonectomy feature elimination parietal pleura, diaphragm and pericardium, and the whole lung on the affected side. For patients in all but the early stages of disease, an EPP is generally the best procedure to achieve complete resection, macroscopically.
Learn more: Mesothelioma Treatment: Curative Surgery - Extrapleural pneumonectomy
Pleurectomy-Decortication
A pleurectomy / decortication is the surgical procedure in which the parietal pleura, the visceral pleura, and may be tissue from the chest wall, diaphragm and pericardium all deleted. The lungs of the affected side, however, is left in place.
Learn more: Mesothelioma Treatment: Curative Surgery - Pleurectomy-Decortication
Mesothelioma Treatments: Surgery - Surgery palliative
There are a number of operations available for mesothelioma palliative care and patients for their eligibility would be based on her overall health and performance status.
The following section contains a brief description of each procedure and the links to learn more about it.
Debulking Pleurectomy
A debulking pleurectomy is a surgical procedure that tries to remove as much cancer of the parietal pleura as possible. This is done to reduce dyspnea associated with tumor burden and can be used together with patients to improve the quality of pleurodesis-life.
Learn more: Mesothelioma Treatment: Palliative Surgery - Debulking Pleurectomy
Decortication of lung
A decortication of the lung is a surgical procedure to remove the visceral pleura of the lungs. This is done when the lungs are restricted and unable to expand fully for visceral pleural tumor infiltration. Can also be used in conjunction with patients to improve the quality of pleurodesis-life.
Learn more: Mesothelioma Treatment: Palliative Surgery - Decortication of lung
Pleural catheter and Pleuroperitoneal Shunts
Pleural catheter and implant pleuroperitoneal shunts can offer effective palliation for patients suffering from recurrent pleural effusions and other fluid buildups. Long-term use of this option is generally used only for those who have late stage disease who do not agree with the other treatment options.
Learn more: Mesothelioma Treatment: Palliative Surgery - Pleuroperitoneal pleural catheter and Shunts
Pleurodesis
Pleurodesis is a procedure that fuses with the parietal pleura and visceral pleura, destroyed the space between them. This is the most frequently-performed palliative procedures and conducted to prevent the buildup of fluid in the pleural space and the recurrence of pleural effusion.
Learn more: Mesothelioma Treatment: Palliative Surgery - Pleurodesis
Mesothelioma Treatments: Surgery - Technique
Most of the operations performed to mesothelioma completed by trained physician as thoracic surgeons, namely, a doctor who specializes in operations conducted in the chest area, the medical name thorax. Our chests containing two of the organs most vital heart and lung operations be conducted in areas requiring highly skilled and careful treatment, as well as good post-operative procedures that can maximize the recovery, while trying to minimize complications. One of the most important factor for achieving these goals is the surgical technique used to enter into the chest.
Two main techniques to enter the current work in most thoracic surgery: Thoracotomy and video-assisted thoracic surgery (barrel). To learn more about this procedure, please read the summary below and follow the "Learn More" link for detailed background is greater.
Thoracotomy
Thoracotomy is a surgical procedure in which a large incision is made to open the chest so that the operation can be performed. This is a very invasive technique, but is required for completion of curative surgery.
Learn more: Mesothelioma Treatment: Surgery Technique - Thoracotomy
Video-Assisted Thoracic Surgery (vat)
Video-assisted thoracic surgery (barrel) is a minimally invasive surgical techniques using video imaging to guide surgeons. Tong has been replaced Thoracotomy for some procedures, because it allows the same treatment or similar, but managed to reach them in a less invasive way.
Learn more: Mesothelioma Treatment: Surgery Technique - Video-Assisted Thoracic Surgery (vat)
Sunday, October 11, 2009
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