What are the two main potentially curative surgery for the treatment of pleural mesothelioma

Surgery for mesothelioma can be made ​​for: to try to cure cancer} b} relieve the symptoms and pain caused by the tumor. Potentially curative surgery may be an option if your general health is good and the cancer has advanced and spread beyond the primary location.However, mesothelioma cells tend to spread into the chest wall, around the heart, most of nerves, and the diaphragm. It is often difficult to detect and remove this spread all these cells. Because of this, doctors often do not agree on the exact role of surgery.In most cases it is not likely to cure, but it can extend your life. Still, the potentially curative surgery has been done in some major cancer centers, and a few patients who have undergone the surgery had long remissions of their disease.Two potentially curative surgical procedures that can be performed if you have pleural mesothelioma are: 1 - extrapleural pneumonectomy: This is a vast operation that attempts to remove all or most of the tumor and some surrounding tissues as well. It is most often used in patients with localized mesothelioma of epithelioid type, when there is a theoretical possibility of a cure. The operation involves the removal of the pleura lining the chest wall, diaphragm, and pericardium, as well as the entire lung on the side of the tumor. The diaphragm and the pericardium are then reconstructed with artificial materials. This is a difficult task and is done only by a few highly skilled surgeons in large medical centers. You must be in good general health with good lung function and other serious illnesses to tolerate this type of surgery. Major complications occur in about 25% of people who undergo this operation.2-Pleurectomy/decortication: Pleurectomy / decortication is less extensive operation. This procedure removes the pleura, where the majority of the tumor. While it can be used to try to cure some tumors, it is most often used as a palliative procedure to relieve symptoms in cases where the whole tumor can not be removed. It can help control the buildup of fluid, improve breathing, and decreasing pain caused by cancer