Resection Specimens

Surgery may be used to treat pneumothorax. The preferred approach is using minimally invasive techniques (VATS) but thoracotomy can be used with an axillary, muscle-sparing approach. Resection of blebs or bullae is achieved using mechanical stapling devices.

Pleurectomy is a procedure used to debulk a malignant mesothelioma or for diagnosis. Multiple fragments or strips of pleural membrane are obtained.

An extrapleural pneumonectomy (EPP) is the en-bloc resection of visceral and parietal pleura, lung, ipsilateral hemidiaphragm and pericardium. It has an operative mortality of 5-15%. Combined with postoperative chemotherapy and adjuvant radiotherapy it may improve survival.

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