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Malignes Pleuramesotheliom

Radikale Pleurektomie und extrapleurale Pneumonektomie im Vergleich

Malignant pleural mesothelioma

Comparison of radical pleurectomy und extrapleural pneumonectomy

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Zusammenfassung

Die Rolle der Chirurgie per se und die Art des chirurgischen Eingriffes im Rahmen multimodaler Therapiekonzepte werden für das maligne Pleuramesotheliom kontrovers diskutiert. Die Indikationstellung zur extrapleuralen Pneumonektomie oder zur radikalen Pleurektomie ist nicht nur abhängig vom kardiopulmonalen Status des Patienten, Tumorstadium und dem intraoperativen Befund, sondern wird vielmehr von den Präferenzen, Erfahrungen und der Philosophie des Chirurgen entscheidend mit beeinflusst. Die vorliegende Arbeit soll die extrapleurale Pneumonektomie und radikale Pleurektomie in Bezug auf Operationstechnik, Morbidität, Mortalität und Überleben vergleichen.

Abstract

The role of surgical resection per se and the type of surgery in the management of multimodality treated malignant pleural mesothelioma remains controversial. Patient selection for either extrapleural pneumonectomy or radical pleurectomy depends not only on the cardiopulmonary status of the patient, tumor stage and intraoperative findings but is also strongly influenced by surgeons’ preference, experience and philosophy. The aim of this review is to compare extrapleural pneumonectomy and radical pleurectomy with regard to surgical technique, morbidity, mortality and survival.

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  1. Klinik für Thoraxchirurgie, Dr. Horst Schmidt Klinik, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland

    S. Bölükbas & J. Schirren

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  1. S. Bölükbas
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  2. J. Schirren
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Correspondence to S. Bölükbas.

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Bölükbas, S., Schirren, J. Malignes Pleuramesotheliom. Chirurg 84, 487–491 (2013). https://doi.org/10.1007/s00104-012-2432-5

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