Extrapleural pneumonectomy for malignant pleural mesothelioma: a steep climb

This brief how-to-do-it article by Galetta et al . (1) from a high volume center with great expertise underscores several key technical and strategic factors about the surgical management of malignant pleural mesothelioma in a multidisciplinary environment. The authors focus on their surgical technique for extrapleural pneumonectomy (EPP) as a means of achieving maximal cytoreduction as part of a trimodality treatment strategy.