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Chest
Diagnosis
Post-Treatment Chest
Surgical Procedures and Complications
Pleurectomy and Decortication
Pleurectomy and Decortication
Brett W. Carter, MD, CPPS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Pleurectomy and decortication (P/D)

            • Synonyms

              • Extended pleurectomy and decortication (EPD)
              • Radical pleurectomy (RP)

            • Definitions

              • 2-part surgical procedure
                • Pleurectomy: Resection of parietal and visceral pleura
                  • Resection of pericardium &/or diaphragm and placement of patches, if needed
                • Decortication: Resection of pleural tumor nodules/masses in ipsilateral hemithorax
              • Avoids resection of ipsilateral lung

            IMAGING

            • Radiographic Findings

              • CT Findings

                • Nuclear Medicine Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Burt BM et al: Malignant pleural mesothelioma and the Society of Thoracic Surgeons Database: An analysis of surgical morbidity and mortality. J Thorac Cardiovasc Surg. 148(1):30-5, 2014
                                2. Rathinam S et al: Pleurectomy decortication in the treatment of the "trapped lung" in benign and malignant pleural effusions. Thorac Surg Clin. 23(1):51-61, vi, 2013
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Pleurectomy and decortication (P/D)

                                          • Synonyms

                                            • Extended pleurectomy and decortication (EPD)
                                            • Radical pleurectomy (RP)

                                          • Definitions

                                            • 2-part surgical procedure
                                              • Pleurectomy: Resection of parietal and visceral pleura
                                                • Resection of pericardium &/or diaphragm and placement of patches, if needed
                                              • Decortication: Resection of pleural tumor nodules/masses in ipsilateral hemithorax
                                            • Avoids resection of ipsilateral lung

                                          IMAGING

                                          • Radiographic Findings

                                            • CT Findings

                                              • Nuclear Medicine Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Burt BM et al: Malignant pleural mesothelioma and the Society of Thoracic Surgeons Database: An analysis of surgical morbidity and mortality. J Thorac Cardiovasc Surg. 148(1):30-5, 2014
                                                              2. Rathinam S et al: Pleurectomy decortication in the treatment of the "trapped lung" in benign and malignant pleural effusions. Thorac Surg Clin. 23(1):51-61, vi, 2013