Extrapleural pneumonectomy

Extrapleural pneumonectomy is a surgical procedure that involves the removal of a lung, a part of the diaphragm, the parietal pleura, and the pericardium. This procedure is often used in the treatment of malignant pleural mesothelioma and other pleural diseases.

Indications

Extrapleural pneumonectomy is primarily indicated for the treatment of malignant pleural mesothelioma. It may also be used in the treatment of other pleural diseases, such as pleural effusion and pleural thickening.

Procedure

The procedure involves the removal of the affected lung, a part of the diaphragm, the parietal pleura (the outer layer of the pleura), and the pericardium (the sac that surrounds the heart). The procedure is performed under general anesthesia and may take several hours to complete.

Risks and Complications

As with any major surgical procedure, extrapleural pneumonectomy carries risks and potential complications. These may include pneumonia, pulmonary embolism, heart attack, and stroke. There is also the risk of mortality associated with the procedure.

Postoperative Care

Following the procedure, patients are typically monitored in the intensive care unit for several days. Pain management, respiratory therapy, and physical therapy are important aspects of postoperative care.

Prognosis

The prognosis following extrapleural pneumonectomy depends on a number of factors, including the stage of the disease, the patient's overall health, and the success of the procedure.

See Also

• Pleura
• Pleural effusion
• Pleural thickening
• Malignant pleural mesothelioma

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