Decortication & Pleurectomy for *Mesothelioma and/or *Ampyema

Pleurectomy, with decortication (P/D) when required, provides both a tissue diagnosis and effective control of pleural fluid accumulation and therefore excellent palliation in patients with pleural mesothelioma. We advocate early thoracotomy (VATS – video assisted thoracic surgery) in these patients. Although the existing evidence is limited and of low quality, it suggests that P/D patients…