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Can you explain the controversy of using EPP versus pleurectomy versus decortication?

Extrapleural Pneumonectomy (EPP)
Where the surgeon removes the lung, the affected pleura and pericardium tissue, and nearby lymph nodes. An extrapleural pneumonectomy is an extremely invasive surgery that is not an option for all patients.
Pleurectomy Decortication (P/D)
Where the doctor removes the pleura lining the affected lung and the chest cavity, as well as the tissue that lines the mediastinum and the diaphragm.

Pleurectomy decortication is less invasive than an extrapleural pneumonectomy.

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