Abbreviations:CT (computed tomography), EPP (extrapleural pneumonectomy), FDG-PET (18F-fluorodeoxyglucose positron emission tomography), MPM (malignant pleural mesothelioma), MST (median survival time), P/D (pleurectomy/decortication), PFS (progression-free survival)
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Conflicts of Interest and Sources of Funding: Seiki Hasegawa received research fund from Elli Lilly and Company, Taiho Pharmaceuticals, and Ono Pharmaceuticals. The remaining authors have declared no conflicts of interest. This work was supported partly by the Special Coordination Funds for Promoting Science and Technology from the Japanese Ministry of Education, Culture, Sports, Science and Technology and partly by programs for promoting clinical cancer research through a Japanese Health and Labor Sciences Research Grant.
Notification of Prior Abstract Publication/Presentation: Part of this study was presented at several annual meetings of the International Mesothelioma Interest Group (September 3, 2010, Kyoto, Japan; September 12, 2012, Boston, USA; October 21, 2014, Cape Town, South Africa; May 3, 2016, Birmingham, UK) and at the 21st European Conference on General Thoracic Surgery (May 27, 2013, Birmingham, UK).
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- Can Maximally Invasive Surgery Be Minimized?Seminars in Thoracic and Cardiovascular SurgeryVol. 31Issue 2
- PreviewPatients with malignant pleural mesothelioma (MPM) have a maximally invasive disease that requires intensive therapy to improve outcomes. Dr Hasegawa et al should be commended for presenting a large series of patients with excellent outcomes and reporting the evolution of their surgical approach over 12 years. While they present a “less invasive surgery” for MPM, the “less” is relative to one of the most invasive operations in thoracic surgery. Even in their experienced hands, the operation remains major undertaking.