Being diagnosed with an aggressive form of cancer, such as mesothelioma, can be overwhelming, leaving many with questions about their treatment options. A pleurectomy is a common surgery performed to treat mesothelioma by removing the lung’s lining (pleura) rather than the lung itself, targeting the cancerous tissue. While pleurectomy can help manage symptoms and prolong survival, it does not typically cure mesothelioma. This procedure is often combined with other treatments, such as chemotherapy or radiation, to improve patient outcomes.
Mesothelioma treatments can be expensive, and many victims often must contend with financial challenges in addition to their physical and emotional burdens. If you have been diagnosed with mesothelioma, you may have grounds to pursue legal recourse for the losses you have suffered. At The Williams Law Firm, P.C., we are dedicated to helping our clients recover the maximum compensation for their claims. Our esteemed principal attorney, Joe Williams, has never lost a mesothelioma case and will work tirelessly to achieve a favorable outcome on your behalf.
Pleurectomy, also known as pleurectomy decortication for mesothelioma (P/D), is a surgical procedure most effective in the early stages of malignant pleural mesothelioma, a type of cancer that affects the pleural space—the lining of the lungs and chest wall. During this lung-sparing surgery, the mesothelioma surgeon, often trained in cardiothoracic surgery, removes the parietal pleura and pleural tissue to remove tumors from the affected lung. In the decortication phase, the surgeon removes any visible tumors and may also remove the visceral pleura if it is invaded by tumor, especially when tumors involve the chest wall or pleural space. The goal is to achieve clear margins at the surgical site to maximize tumor removal while preserving the affected lung.
Compared to radical surgery such as extrapleural pneumonectomy, which removes the entire lung, pleurectomy decortication spares the affected lung, preserving lung capacity and function and improving postoperative quality of life. Systematic reviews have shown improved outcomes for certain treatment groups based on prognostic factors such as cancer stage and histological subtype, including biphasic mesothelioma and sarcomatoid mesothelioma. Patients with early stages of disease are more likely to benefit from this approach, while those with advanced stages may have limited surgical options.
Pleurectomy decortication is often part of a multimodal treatment plan, which may include postoperative chemotherapy and radiation to destroy cancer cells. Ongoing clinical trial research continues to optimize pleurectomy decortication for mesothelioma and refine patient selection. This procedure can also help prevent pleural effusion and fluid buildup, providing significant symptom relief. After surgery, a chest tube is typically placed to drain fluid and aid recovery, supporting lung re-expansion and maintaining lung capacity.
A pleurectomy typically goes hand-in-hand with another procedure known as a decortication. Thoracic surgeons, who specialize in surgeries of the chest, play a crucial role in performing pleurectomy procedures. A pleurectomy involves opening the chest to remove the lung’s pleural lining and any cancerous tissues. Then, decortication is performed to eliminate visible tumor masses from the lung’s surface and the surrounding chest area.
Traditionally, specialists view pleurectomy/decortication (P/D) as a treatment to provide relief, focusing on easing symptoms and enhancing quality of life. This procedure is often the first choice to treat individuals with pleural mesothelioma.
Pleurectomy/decortication (P/D) is a surgical procedure involving carefully removing the pleura, the lung’s external lining, and any cancerous tumors visible within the chest. A key goal of P/D, along with other surgical interventions for mesothelioma, revolves around eliminating all tumor tissue visible without microscopic aid. Typically, the more cancer tissue the surgeon can remove, the greater the likelihood of improving the patient’s survival rates.
P/D is frequently integrated into a comprehensive treatment plan to attempt to remove all cancer cells thoroughly. These treatment plans often incorporate additional measures like chemotherapy and radiation therapy to find the most effective combination to extend the patient’s life.
The two-part pleurectomy and decortication surgery lasts between four to six hours. During the procedure, the surgical team meticulously ensures the protection of vital chest structures.
Starting with general anesthesia, the patient is positioned on their side in the operating room for optimal access to the chest. An incision between the ribs, known as a thoracotomy, is made, and the sixth rib is removed to access the chest cavity. The surgical team then carefully detaches and removes the outermost layer of the pleura, addressing any tumors on the diaphragm or heart lining as necessary.
The decortication phase follows, focusing on removing the pleura closer to the lungs and any tumor-invaded lung tissue, aiming to remove as much cancer as possible. After the incisions are closed, the patient moves on to the recovery stage, which can last anywhere from a few weeks to a few months.
A pleurectomy offers several benefits for mesothelioma patients, including the following:
While a pleurectomy is a popular mesothelioma treatment option, discussing your options with a qualified specialist is essential. Your surgeon will be able to review your treatment options and advise you on the best path forward.
Mesothelioma diagnosis typically involves a combination of imaging tests, such as chest X-rays and CT scans, and a biopsy to confirm the presence of cancer cells. The biopsy can be performed using various methods, including fine-needle aspiration, thoracoscopy, or open biopsy. Once the diagnosis is confirmed, further tests may be conducted to determine the stage of the cancer and identify any lymph nodes or other areas of the body that may be affected. Accurate diagnosis is crucial in determining the best course of treatment for pleural mesothelioma patients.
The life expectancy and prognosis for pleural mesothelioma patients vary depending on several factors, including the stage of the cancer. Other important prognostic factors, such as histological subtype, tumor volume, and patient health, also influence life expectancy and prognosis. Generally, patients who undergo pleurectomy decortication surgery tend to have a better prognosis than those who do not receive surgical treatment. According to the National Cancer Database, the median survival for patients with pleural mesothelioma is around 12-18 months, but some patients may live for several years with proper treatment and care. Clinical trials and emerging treatments, such as immunotherapy and targeted therapy, may also improve life expectancy and prognosis for mesothelioma patients.
When facing a diagnosis of malignant pleural mesothelioma, it is essential to seek care from a mesothelioma specialist. These experts are highly trained in thoracic surgery and have extensive experience treating pleural mesothelioma. A mesothelioma specialist works closely with a multidisciplinary healthcare team to develop a personalized treatment plan tailored to each patient’s unique needs. This plan may include pleurectomy decortication, radiation therapy, chemotherapy, or a combination of these approaches to maximize effectiveness.
Mesothelioma specialists are also at the forefront of clinical trials and research, constantly seeking new ways to improve outcomes and life expectancy for mesothelioma patients. Their expertise ensures that patients have access to the latest treatment options and innovative therapies. By working with a mesothelioma specialist, patients benefit from comprehensive care, advanced surgical techniques, and a greater chance of improved survival when treating mesothelioma.
Clinical trials and ongoing research are vital for advancing the treatment of malignant pleural mesothelioma. These studies explore new and promising therapies, such as intraoperative heated chemotherapy, immunotherapy, and targeted treatments, which may offer hope for better outcomes. Mesothelioma patients who participate in clinical trials can access cutting-edge mesothelioma treatments that are not yet widely available, potentially improving their prognosis and quality of life.
Research also focuses on refining surgical techniques, optimizing chemotherapy regimens, and developing more effective radiation therapy protocols. By enrolling in clinical trials, patients contribute to the collective understanding of pleural mesothelioma and help pave the way for future breakthroughs. Participation in these studies not only offers access to innovative treatment options but also supports the ongoing quest to find a cure for mesothelioma.
Effectively managing mesothelioma symptoms is a key part of improving the daily lives of patients. Common symptoms, such as difficulty breathing, chest pain, and fatigue, can significantly impact quality of life. Treatments like pleurectomy decortication and radiation therapy are designed not only to target cancer cells but also to relieve symptoms and enhance lung function.
In addition to these procedures, many mesothelioma patients benefit from palliative care, which focuses on symptom relief and overall well-being. A dedicated healthcare team, including a mesothelioma specialist, works together to create a comprehensive treatment plan that addresses both the physical and emotional challenges of the disease. By prioritizing symptom management, patients can experience greater comfort and maintain a better quality of life throughout their treatment journey.
Receiving a diagnosis of pleural mesothelioma can be devastating, and it’s essential for patients and their families to seek support and guidance throughout the treatment process. Coping with mesothelioma symptoms, such as chest pain and difficulty breathing, can be challenging, but there are various resources available to help alleviate symptoms and improve quality of life.
Patients can benefit from connecting with other mesothelioma patients, joining support groups, and seeking counseling to cope with the emotional and psychological aspects of the disease.
Additionally, healthcare teams can provide guidance on managing symptoms, navigating treatment options, and accessing clinical trials and other resources to help patients and their families navigate the complex journey of treating mesothelioma.
Reviewing your treatment options for mesothelioma can be daunting, making it essential to have a trusted legal partner by your side. At The Williams Law Firm, P.C., we understand the complexities of your situation. Our team is dedicated to safeguarding your rights and ensuring you receive the attention and compensation you deserve during this challenging time.
Contact us today to schedule a free consultation. You can reach our dedicated team at (855) 575-6376 or by completing our. We are here to fight for you.
As the founding partner of Williams Law Firm, Joseph P. Williams has dedicated over 30 years to representing mesothelioma victims and their families. His firm has recovered hundreds of millions of dollars for those affected by asbestos exposure, offering personalized, aggressive legal advocacy. Based in New York, Williams Law Firm provides free consultations and handles cases nationwide.
