The surgeries have for this tumor are the extrapleural Pneumonectomy and pleurectomy and decortication.
The Extrapleural Pneumonectomy or pleuropneumonectomía begins with an opening of the chest through the posterolateral aspect of the 6th rib, which is resected. Then there is a dissection between the parietal pleura and intrathoracic fascia. It is important not to injure the superior and inferior vena cava, subclavian vessels, intrathoracic vessels and recurrent laryngeal nerves.
The diaphragm is removed if committed or is suspected, including conporción of peritoneal serosa. The pericardium is opened anteromedially phrenic nerve to expose the hilar vessels and subcarinal lymph nodes. Tumor and lung were resected, and using certain techniques and materials (patches) to prevent cardiac herniation.
The mortality of surgery was 15% to 20% and 35% morbilidaddel few years ago. With the advent of new materials, techniques and drugs, mortality has been reduced to 8% and 15% morbidity. The most frequent postoperative complications are bleeding, respiratory failure, pneumonia, pulmonary embolism, and empyema. After surgery the average lifespan is 14 to 25 months with this technique.
