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  • Title: [Experience of various parietal pleurectomies with decortication of lungs in pleural lesions].
    Author: Opanasenko MS, Kalenychenko MI, Tereshkovych OV, Konik BM, Demus RS, Siryk OO, Kshanovskyĭ OE, Levanda LI, Obrems'ka OK, Kononenko VA.
    Journal: Klin Khir; 2013 Aug; (8):48-53. PubMed ID: 24171290.
    Abstract:
    During 2006-2012 years different types of parietal pleurectomy (PE) with lung decortication (LD) were performed for 135 patients. Among them: 42 (31.1%)--had standart PE with LD (with performing usual thoracotomy); 34 (25.2%)--had video-assisted thoracic surgery (VATS) PE with LD; 36 (26.7%)--videothoracoscopy (VTS) PE with LD; 23 (17.0%)--standart PE with LD combined with lung resection. Common effectiveness of surgical treatment was 96.3%, mortality level--1.5%, postoperative complication level--8.9%. On the early stage of pleural diseases VATS PE with LD and VTS PE with LD are more preferable. To unclear and difficult cases for performing standart PE with LD we consider that operation should begin by VTS pleural space investigation. In some cases minithoracotomy is possible with performing VATS PE with LD or standart PE with LD (performing usual thoracotomy).
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