A new report published in the European Journal of Cardio-Thoracic Surgery studied the cases of 314 pleural mesothelioma patients from 2011 to 2014 who had P/D surgery to remove the pleural membrane from their diseased lung. The study concludes that not all P/D methods are created equal. Of the three P/D methods, the researchers concluded that only two had positive impacts on survival rates.
The three P/D surgical protocols examined were Extended P/D, P/D, and Partial P/D.
- Extended (radical) P/D: (162 patient cases) Includes removal of the membrane around the lungs, heart, diaphragm, as well as other tissues
- P/D: (115 patient cases) The standard mesothelioma surgical procedure which just leaving more tissue untouched than the extended P/D.
- Partial P/D: (37 patient cases) Only attempts to remove the pleura but does not seek to remove all of the tumor tissue.
Marulli, the author of the study concluded that, “Whether the P/D is extended or not, it shows similarly good outcomes in terms of early results and survival rate. In contrast, a partial pleurectomy, which leaves gross tumour behind, has no impact on survival.”
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