Lung Decortication
Lung Decortication
Lung Decortication as a Treatment approaches for malignant mesothelioma consist of procedures and healing practices of palliative care .
As its name indicates ,Lung Decortication potentially curative procedures are carried out with the intention of curing patients from the disease.lung removal is the main objective of these procedures is the complete elimination of a serious illness. Microscopic residual disease usually lashed to avoid the use of adjuvant therapy , which usually takes the form of a combination of chemotherapy and radiotherapy .Lung Decortication Studies have shown that a focus trimodal combination of surgery with chemotherapy,lung removal and other new approaches such as gene therapy , photodynamic therapy, or immunotherapy is most effective for the arrival of a cure.
An example of a potentially curative procedure that is performed for pleural mesothelioma is pleurectomy or Lung Decortication. This is usually done in patients with stage I and II malignant mesothelioma. The removal of the entire tumor is attempted with this procedure.lung removal If complete removal of the tumor should be removed from the Lung Decortication, a pneumonectomy was performed simultaneously.
A more radical approach that can be used to treat pleural mesothelioma by Lung Decortication is possibly extrapleural pneumonectomy .lung lobectomy As this is a more radical , more experienced surgeons also required . Patients must meet certain criteria before extrapleural pneumonectomy can be performed on them by Lung Decortication. The criteria include Karnofsky performance status score> 70 , hepatic and renal function adequately in the normal electrocardiogram and echocardiography results lung removal, pulmonary function tests properly, the limiting disease ipsilateral hemithorax only without the participation of the membrane is the heart and chest wall and the patient's age . The age is not given as much weight as the functional status of the patient.
For peritoneal mesothelioma , is holding a volume reduction surgery for possible prosecution. As with the methods used for pleural mesothelioma ,Lung Decortication is done in order to remove all of the tumor. Reduction surgery is often lung removal combined with intraperitoneal hyperthermic chemotherapy ( IPHC ) ,lung lobectomy which aims to eliminate all remaining microscopic cancer cells .
For patients with more advanced stages of malignant mesothelioma for which previous curative approaches are unsecured, Lung Decortication should be directed towards the use of palliative procedures .
Palliative procedures are designed to relieve symptoms caused by the disease , with the hope of improving the quality of life of patients .Lung Decortication Thoracic drainage and pleurodesis is a palliative treatment commonly used to relieve fluid buildup or leakage into the thoracic cavity . Since malignant pleural effusions are usually persistent after initial drainage Lung Decortication, pleurodesis is often performed to permanently close the pleural space and prevent re - fluid buildup. The talc or lung removal as an other sclerosing agents are used as adhesives lung lobectomy . Thoracoscopic pleurodesis with another palliative procedure with a similar strategy.lung removal Both procedures can be performed if the tumor has not locked up in the lungs .Lung Decortication The unlimited expandability of the lungs must be intact for these two procedures. In cases where the disease is causing a restriction on the expansion of the lungs,Lung Decortication a pleurectomÃa is the most effective treatment for the control of pleural effusion.
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