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Video-assisted thoracic surgery (VATS) can be used at many points in the patient’s pathway through the course of the disease. VATS is the most reliable method of diagnosis and may be combined with mediastinoscopy to give the stage of disease. VATS pleurodesis is the most reliable method of effusion control when the lung re-expands and is the best method of achieving relief of dyspnoea due to lung entrapment by VATS decortication. Furthermore, the cytoreductive effect of this procedure may delay disease progression and prolong survival.
KeywordsMalignant Pleural Mesothelioma Malignant Mesothelioma Delay Disease Progression Pleural Empyema Talc Pleurodesis