Surgery Today

, Volume 48, Issue 6, pp 656–658 | Cite as

Non-incisional pleurectomy–decortication for malignant pleural mesothelioma

  • Fumihiro TanakaEmail author
  • Naoko Imanishi
  • Masaru Takenaka
  • Akihiro Taira
How To Do It


Pleurectomy–decortication (P/D) is lung-sparing surgery with curative intent for malignant pleural mesothelioma (MPM). Visceral pleurectomy is the most challenging step in this procedure. At the beginning of pleurectomy, a sharp pleural incision through the tumor is usually made to create the dissection plane between the visceral pleura and the lung parenchyma, which may cause the spread of tumor cells into the operation field. Here, we describe a sophisticated surgical technique of P/D without any pleural incision (“non-incisional P/D”) to achieve en bloc removal of the entire pleura and tumor, which may improve postoperative survival by preventing tumor spread.


Pleurectomy–decortication Malignant pleural mesothelioma Non-incisional pleurectomy 



None declared.

Compliance with ethical standards

Conflict of interest

All authors declared that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 472985 KB)


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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Fumihiro Tanaka
    • 1
    Email author
  • Naoko Imanishi
    • 1
  • Masaru Takenaka
    • 1
  • Akihiro Taira
    • 1
  1. 1.Second Department of Surgery (Chest Surgery)University of Occupational and Environmental HealthKitakyushuJapan

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