Malignant Pleural Mesothelioma: Present Status and Future Directions

Thoracoscopy in Diagnosis and Treatment of Malignant Pleural Mesothelioma

Author(s): Rocco Bilancia, Annabel Sharkey and David A. Waller

Pp: 399-411 (13)

DOI: 10.2174/9781681081946116010031

* (Excluding Mailing and Handling)

Abstract

In malignant pleural mesothelioma (MPM) diagnostic success of noninvasive procedures is generally reported to be unsatisfactory. Both medical and surgical thoracoscopy seem to be ideal tools causing little discomfort, with very low risk of complication and short hospital stay. Both procedures therefore represent the diagnostic gold standard whilst also offering effective palliation at the same time. In this chapter all these aspects as well as anesthesiological patterns, technical tricks, conditions for associating pleurodesis, role of partial thoracoscopic pleurectomy are discussed.


Keywords: Malignant pleural effusion, talc pleurodesis, video-assisted thoracic surgery.

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