Mesothelioma is a cancer associated almost solely with asbestos exposure. Because this cancer can take years and even decades before it makes itself known, treatment for this kind of cancer is difficult and often non effective.
One treatment for Mesothelioma that is hotly contested is lung removal. While many doctors feel that Pneumonectomy, removal of the lung or extra pleural pneumonectomy may help relieve some of the symptoms of Mesothelioma and prolong life, others feel these surgeries are far too invasive and offer little hope for the patient.
What Is Pneumonectomy and Extra Pleural Pneumonectomy?
Pneumonectomy and extra Pleural Pneumonectomy are both forms of lung removal surgery. Pneumonectomy consists of the complete removal of the affected lung while extra plural pneumonectomy consists of the removal of the diseased lung, a portion of the membrane covering the heart, part of the diaphragm and the patrietal pleura or the membrane lining the chest cavity.
Although Pneumonectomy has fewer risks and is somewhat the less invasive of the two surgeries it is often ineffective as removing just the affected lung has less chance of slowing the cancer growth than does extra Pleural Pneumonectomy. However, in order for extra Pleural Pneumonectomy to be effective it needs to be done in the earlier stages of this cancer.
The risks of extra Pleural Pneumonectomy are enormous with 5 to 10% of the patients unable to survive this surgery. Because of the risk in surviving the surgery itself and the complications that can occur after surgery many physicians who treat Mesothelioma feel that the surgery does not offer enough benefits to be considered a viable treatment.
Those physicians who disagree site the fact that when the surgery is successful that patients have increased survival rate of 3 to 4 years.
Considerations Prior to Lung Removal Surgery
The truth is though this type of surgery is hotly debated, most patients suffering from Mesothelioma may not even be viable candidates for surgery. There are a number of reasons for this, including the fact that oftentimes Mesothelioma has already begun to affect both lungs by the time it is diagnosed and treatment is started.
There are several other things that those treating patients with Mesothelioma have to consider before lung removal surgery can even be performed. These considerations include:
* Overall health of the patient. In many cases age and other illnesses as well as declining overall health makes consideration of lung removal surgery impossible. Those patients who can most benefit from this type of surgery are usually young and are generally in good health other than the cancer. The sooner Mesothelioma is diagnosed the more appealing this option may be.
* Whether or not there is Mastitis or spreading to distant sites of the Mesothelioma. If the Mesothelioms has already spread to sites where removing a lung offers little or no hope for prolonging life then surgery will not be considered.
* Evaluation of a Patients lung and heart function. If the remaining lung and the heart are not strong they will be unable to withstand the surgery or the long period of recovery. Neither will the remaining lung be in condition to do both it’s job and the job of the lung that is to be removed. Since removing a lung means addition stress on the remaining lung, it needs to be in good shape in order for the patient to survive.
* How the patient himself feels about surgery. Patients suffering from Mesothelioma know that there is little chance of surviving this type of cancer in the long run. While some patients may decide that prolonging their life by a few years may give medical science a chance to find a cure other patients simply don’t want to prolong their own suffering.
Since lung removal surgery for Mesothelioma patients is so risky and requires a long recovery time, the patients mind set and attitude going into the surgery will have a lot to do with the surgery’s success. If a patient does not want to undergo such invasive surgery the best the physician can do is offer alternatives to the patient.
Lung removal surgery is never an easy process. For patients suffering from Mesothelioma the surgery offers more than the standard risks and complications. For those patients who do qualify for this type of surgery and decide to have it despite the risks, continued and ongoing support by family members and friends can make a huge difference in the patients chances for survival.