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Minimally Invasive Thoracic and Cardiac Surgery pp 213–221Cite as

Video-Thoracoscopic Parietal Pleurectomy

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Abstract

Pleurectomy implies removal of the parietal and/or visceral pleura and can be performed by video-assisted thoracic surgery (VATS) or open thoracotomy. Depending on the specific disease involved, an apical, partial or full parietal pleurectomy is performed. In case of a thickened visceral pleura limiting lung expansion, a visceral pleurectomy which is called decortication may be necessary.

Main indications for pleurectomy are primary or secondary spontaneous pneumothorax, recurrent pleural effusion associated with inflammatory disorders and malignant pleural effusion. For most indications, no definitive guidelines can be provided due to the lack of prospective randomised clinical trials. Specific treatment should be tailored according to the patients’ symptoms, the underlying disease and the estimated prognosis.

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Author information

Authors and Affiliations

  1. Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Wilrijkstraat 10, Edegem (Antwerp), B-2650, Belgium

    Paul E. Van Schil M.D., Ph.D., Jeroen M. Hendriks M.D., Ph.D., Chantal Vandenbroeck M.D. & Patrick R. Lauwers M.D.

Authors
  1. Paul E. Van Schil M.D., Ph.D.
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  2. Jeroen M. Hendriks M.D., Ph.D.
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  3. Chantal Vandenbroeck M.D.
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  4. Patrick R. Lauwers M.D.
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Corresponding author

Correspondence to Paul E. Van Schil M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

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© 2012 Springer-Verlag Berlin Heidelberg

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Van Schil, P.E., Hendriks, J.M., Vandenbroeck, C., Lauwers, P.R. (2012). Video-Thoracoscopic Parietal Pleurectomy. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_19

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  • DOI: https://doi.org/10.1007/978-3-642-11861-6_19

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

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