Malignant Pleural Mesothelioma: Present Status and Future Directions

Malignant pleural mesothelioma is a life-threatening neoplasm of the mesothelium, the layer of tissue that covers many organs in the human body. The incidence of this type of neoplasm is gradually ...
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Thoracoscopy in Diagnosis and Treatment of Malignant Pleural Mesothelioma

Pp. 399-411 (13)

Rocco Bilancia, Annabel Sharkey and David A. Waller


In malignant pleural mesothelioma (MPM) diagnostic success of noninvasive procedures is generally reported to be unsatisfactory. Both medical and surgical thoracoscopy seem to be ideal tools causing little discomfort, with very low risk of complication and short hospital stay. Both procedures therefore represent the diagnostic gold standard whilst also offering effective palliation at the same time. In this chapter all these aspects as well as anesthesiological patterns, technical tricks, conditions for associating pleurodesis, role of partial thoracoscopic pleurectomy are discussed.


Malignant pleural effusion, talc pleurodesis, video-assisted thoracic surgery.


Department of Thoracic Surgery, Glenfield University Hospital, Leicester, UK.