The Asian Cardiovascular and Thoracic Annals can reveal that
patients who opt for pleural/decortication (P/D) has more chances of enjoying a
more comfortable life compared to patients who undergo extrapleural
pneumonectomy (EPP).
Pleural mesothelioma originates from the skinny lining that
wraps the lungs. Since it is very near the lungs, there is a high probability that
pleural mesothelioma will eventually extend to the lung itself, thus,
undermining the latter’s function. In the long run, the diseased mesothelium eventually
thickens and hardens, thus, preventing the lungs’ expansion every time a
patient breathes.
Pleurectomy/decortication and extrapleural pneumonectomy are
the two major types of surgical treatments offered to mesothelioma patients. However,
the medical community is divided as to which of the two offers better relief to
the patients. While both operations are invasive in nature and aim to eliminate
diseased pleural tissue, studies show that only extrapleural pneumonectomy can
remove the diseased lung, the lymph nodes, parts of the covering of the heart
(pericardium) and part if not all of the diaphragm, too.