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Pleurectomy Decortication or P/D is a life-extending surgical treatment for people with lung cancer or Pleural Mesothelioma. However, not everyone with Pleural Mesothelioma is eligible for this treatment. It would be only effective for those in the early stages of Mesothelioma and if the tumor didn’t spread beyond the lining of the lungs. Patients must have an overall good health to endure the surgery and long recovery process. It is an aggressive surgery consisting of two parts…
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It is where the surgeon dissects and opens the chest cavity or thoracic cavity and removes the surrounding lining of one lung. It is a kind of analgesic treatment that alleviates you from issues caused by the accumulated fluid in the thoracic cavity. It makes room for the lung to expand, reduces chest pain and fluid upsurge improving your breathing.


It is where all the tumor growth within the chest cavity is carefully removed. Here, the surgeon cautiously scuffs the pleural lining confiscating as much cancer as possible. The entire P/D procedure may take up to 5 hours. And the patients are put under general anesthesia for this surgery. In this treatment, your lungs are kept intact, unlike EPP. Thoracic surgeon Robert Cameron M.D. is a Mesothelioma specialist and has founded P/D surgery two decades back.

How Does Pleurectomy Decortication Help People with Pleural Mesothelioma?

Since there is no removal of a lung in P/D procedure, for which the patients take less recovery time in comparison to EPP. Though the mortality rated associated with P/D is less, but it has a success rate of 90% which means a majority of the patients who opted for P/D experience a drop of the Mesothelioma symptoms. Patients also get a chance to have a better quality of life.
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Expected Cost of Pleurectomy Decortication

Any cancer treatment is expensive and cost of Mesothelioma treatments is high. Generally, people end up spending more than anticipated. While calculating the cost of P/D, one must include the cost of traveling, several diagnostic and lab tests, medicine costs, hospital stay, consultation, caregivers expenses apart from the surgical procedure cost. One must plan ahead with it. American Cancer Society also suggests sharing the costs with your consulting doctor. You can also get help to lower and pay your treatment costs. Apart from checking out your insurance coverage, you may seek some help from Veterans Affairs, Asbestos Trust Funds, and other charitable organizations.
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The average survival time of patients who underwent P/D is around 29 months which is 3 times more than the general life expectancy of Mesothelioma patients. Although it has a high success rate of 90% but the mortality rate is low. One to four persons dies out of 100 patients who undergo P/D. Around 40% of patients diagnosed in the first year and underwent for P/D have survived for more than 5 years. It is lung-saving cancer treatment that improves your quality of life. There are also other complications that may arise during this treatment like prolonged air leak (happened to 1among 10 patients, postoperative pains, pneumonia, cardiac failure, internal bleeding, blood clot, and infection. Some may also experience a reoccurrence of cancer after P/D treatment. It would be wise to consult your doctor and take a second opinion as well before considering P/D.
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Show Sources


  1. https://www.ncbi.nlm.nih.gov/pubmed/23206717
  2. http://www.ctsnet.org/article/role-decortication-mesothelioma
  3. https://www.mesotheliomaveterans.org/treatment/surgery/pleurectomy-decortication/
  4. https://www.maacenter.org/mesothelioma/prognosis/survival-rate/
Last Modified: Apr 14, 2017 @ 12:05 am

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