{"id":829,"date":"2020-04-17T13:19:01","date_gmt":"2020-04-17T17:19:01","guid":{"rendered":"https:\/\/www.mesotheliomahope.com\/?page_id=829"},"modified":"2024-09-03T14:41:04","modified_gmt":"2024-09-03T18:41:04","slug":"epp-vs-pd","status":"publish","type":"page","link":"https:\/\/www.mesotheliomahope.com\/treatment\/surgery\/epp-vs-pd\/","title":{"rendered":"EPP vs. P\/D"},"content":{"rendered":"<h2>EPP vs P\/D Overview<\/h2>\n<p>Surgery is a significant part of many mesothelioma treatment plans. Both <a href=\"\/treatment\/surgery\/extrapleural-pneumonectomy\/\">extrapleural pneumonectomy (EPP)<\/a> and <a href=\"\/treatment\/surgery\/pleurectomy-decortication\/\">pleurectomy with decortication (P\/D)<\/a> are thoracic surgeries used to treat malignant pleural mesothelioma.<\/p>\n<p>These surgeries are <strong>best suited for patients with early-stage (stage 1 or 2) pleural mesothelioma. <\/strong><\/p>\n<p>The main goal of these surgical interventions is to remove <a href=\"\/mesothelioma\/\">mesothelioma<\/a> from the chest cavity before it has metastasized (spread to distant sites) and to prevent recurrence of the cancer.<\/p>\n<div class=\"video-shortcode-container\"><style type=\"text\/css\">.video-shortcode-container{margin:40px 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!important;font-display:swap;speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;background:#F46E0F;border-radius:70px;color:#fff;content:\"\\e908\";display:block;font-size:50px;font-weight:bold;height:70px;left:50%;line-height:70px;position:absolute;text-indent:5px;top:50%;transform:translate(-50%, -50%);transition:all 0.25s ease-in-out;width:70px}.video-shortcode-container>.youtube-video-place button[type=button]:hover{background:rgba(255,255,255,0.1)}.video-shortcode-container>.youtube-video-place button[type=button]:hover:before{background:#2F293D;box-shadow:0 5px 20px #111;color:#fff}.video-shortcode-container .under-video-text{padding:20px 20px 25px}.video-shortcode-container .under-video-text>p:first-child{margin-bottom:0}.entry-content .video-shortcode-container .under-video-text a:not(.button),.entry-content .video-shortcode-container .under-video-text 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.header{font-size:18px;padding-bottom:30px;text-align:center;max-width:370px;margin:0 auto 30px;border-bottom:2px solid #0FAEBF;position:relative}.video-shortcode-container .what-next .header img{position:absolute;bottom:-17px;left:50%;transform:translateX(-50%);width:36px;height:36px;margin:0}.video-shortcode-container .what-next a{color:#fff;font-weight:700}.video-shortcode-container .what-next a:visited{color:#fff}.video-shortcode-container .what-next a:hover{text-decoration:none}.video-shortcode-container .what-next ol{list-style:decimal;margin-left:25px}.video-shortcode-container .what-next ol>li{margin-bottom:10px;padding-left:10px}.video-shortcode-container .what-next ol>li:before{display:none}.video-shortcode-container .what-next ol>li::marker{font-weight:700;color:#fff}@media screen and (min-width: 550px){.what-next{font-size:18px}.what-next .header{font-size:24px}}@media screen and (min-width: 768px){.what-next{padding:50px 40px}.what-next .header{padding-bottom:35px;margin-bottom:50px}.what-next ol{column-count:2}.what-next ol>li{margin-bottom:25px}}<\/style><script defer type=\"text\/javascript\" src=\"https:\/\/www.youtube.com\/iframe_api\"><\/script><div class=\"what-next\" data-video-name=\"Mesothelioma Surgeries\">\n\t\t\t        \t<div class=\"header\">\n\t\t\t        \t\t<strong>What would you like to do now?<\/strong>\n\t\t\t        \t\t<img decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/03\/MH-logo.png\" alt=\"Mesothelioma Hope Logo\" class=\"no-lazyload\" \/>\n\t\t\t        \t<\/div>\n\t\t\t        <\/div><div id=\"oscar-video-16682\" class=\"youtube-video-place embed-wrap-placeholder\"><img loading=\"lazy\" decoding=\"async\" alt=\"Mesothelioma Surgeries Video Thumbnail\" data-src=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/mesothelioma-surgery-MH-img-603x337.jpg\" class=\"attachment-full size-full lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" width=\"603\" height=\"337\"><noscript><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/mesothelioma-surgery-MH-img-603x337.jpg\" alt=\"Mesothelioma Surgeries Video Thumbnail\" class=\"attachment-full size-full\" width=\"603\" height=\"337\" \/><\/noscript><button type=\"button\" aria-label=\"Youtube Video\" class=\"embed-play\" data-youtube-url=\"https:\/\/www.youtube.com\/embed\/AnhSw9b-e-s\" data-embed-id=\"AnhSw9b-e-s\" data-video-category=\"treatment\" data-ce-category=\"Video\" data-ce-label=\"Play Button of Mesothelioma Surgeries\"><span class=\"screen-reader-text\">Play Video<\/span><\/button><\/div><div class=\"under-video-text\"><p>Registered Nurse Amy Fair discusses mesothelioma surgery options and who may be a candidate. Call <a href='tel:+18666088933'>(866) 608-8933<\/a> to connect with Amy for personalized medical guidance. <a href=\"#\" data-collapsed=\"true\" title=\"Click to read Mesothelioma Surgeries transcript \" class=\"show-more\" data-ce-category=\"Video\" data-ce-label=\"Read Transcript of Mesothelioma Surgeries\">View Transcript.<\/a><\/p><p class=\"duration\">Duration: <strong>2 min 16 sec<\/strong><\/p><div class=\"video-transcript\"><p>What are the surgical treatment options for mesothelioma?<\/p>\n<p>It\u2019s important to talk to your surgeon and oncologist to see if you are a surgical candidate. Some folks that have extensive disease (cancer) are not a surgical candidate and they will start with other treatment modalities such as radiation and chemotherapy. With comorbidities such as diabetes, heart, and some lung conditions the surgeon may tell you you\u2019re not a surgical candidate. Sometimes the cell type of your disease and the staging also drives if you are a surgical candidate or not for surgery.<\/p>\n<p>Some of the surgeries performed for mesothelioma are a decortication, which is where they remove the lining of the lung, sometimes called a pleurectomy. There is a more extensive surgery called a pneumonectomy. That is where they remove the whole lung. There are surgical interventions for the peritoneal mesothelioma. Sometimes they will go in and do a recession of the damaged or diseased part of the intestines. There is a procedure called a HIPEC procedure where they go into the abdomen and they flood the abdomen with what is called a chemo wash. It is a more direct line and source of chemotherapy than the intravenous route.<\/p>\n<p>Your surgeon will explain to you all the components of the surgery, pre-surgery, and post-surgery. They will tell you that you may have a chest tube. Many times, surgeries, decortications, things like that will cause the lung to collapse. That\u2019s very normal so they will tell you that you may have a chest tube in place to inflate or to keep that lung from collapsing. Post-surgery it\u2019s all about the healing phase. It\u2019s about pain control. It\u2019s about getting up and keeping your pneumonias down, getting up and being active. Post-surgery sometimes the patient is sent home with a catheter in their pleura called a pleura evac, pleura catheter where it continues to drain the fluid once the patient is at home. They will talk with them about good nutrition. They will talk with them about keeping their immune system strong so the healing process proceeded like it should.<\/p>\n<\/div><\/div><div class=\"see-more-videos\"><a href=\"\/video-library\/?cat=treatment\" data-ce-category=\"Video\" data-ce-label=\"See More - Mesothelioma Surgeries\">See More Treatment Videos<\/a><\/div><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@graph\": [{\"@type\": \"VideoObject\", \"name\": \"Mesothelioma Surgeries\", \"uploadDate\": \"2021-04-26T00:00:00-04:00\", \"thumbnail\": \"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/mesothelioma-surgery-MH-img.jpg\", \"thumbnailUrl\": \"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/mesothelioma-surgery-MH-img.jpg\", \"embedUrl\": \"https:\/\/www.youtube.com\/embed\/AnhSw9b-e-s\", \"url\": \"https:\/\/www.youtube.com\/watch?v=AnhSw9b-e-s\", \"caption\": \"Registered Nurse Amy Fair discusses mesothelioma surgery options and who may be a candidate. Call &lt;a href='tel:+18666088933'&gt;(866) 608-8933&lt;\/a&gt; to connect with Amy for personalized medical guidance.\", \"description\": \"Registered Nurse Amy Fair discusses mesothelioma surgery options and who may be a candidate. Call &lt;a href='tel:+18666088933'&gt;(866) 608-8933&lt;\/a&gt; to connect with Amy for personalized medical guidance.\", \"transcript\": \"&lt;p&gt;What are the surgical treatment options for mesothelioma?&lt;\/p&gt; &lt;p&gt;It\u2019s important to talk to your surgeon and oncologist to see if you are a surgical candidate. Some folks that have extensive disease (cancer) are not a surgical candidate and they will start with other treatment modalities such as radiation and chemotherapy. With comorbidities such as diabetes, heart, and some lung conditions the surgeon may tell you you\u2019re not a surgical candidate. Sometimes the cell type of your disease and the staging also drives if you are a surgical candidate or not for surgery.&lt;\/p&gt; &lt;p&gt;Some of the surgeries performed for mesothelioma are a decortication, which is where they remove the lining of the lung, sometimes called a pleurectomy. There is a more extensive surgery called a pneumonectomy. That is where they remove the whole lung. There are surgical interventions for the peritoneal mesothelioma. Sometimes they will go in and do a recession of the damaged or diseased part of the intestines. There is a procedure called a HIPEC procedure where they go into the abdomen and they flood the abdomen with what is called a chemo wash. It is a more direct line and source of chemotherapy than the intravenous route.&lt;\/p&gt; &lt;p&gt;Your surgeon will explain to you all the components of the surgery, pre-surgery, and post-surgery. They will tell you that you may have a chest tube. Many times, surgeries, decortications, things like that will cause the lung to collapse. That\u2019s very normal so they will tell you that you may have a chest tube in place to inflate or to keep that lung from collapsing. Post-surgery it\u2019s all about the healing phase. It\u2019s about pain control. It\u2019s about getting up and keeping your pneumonias down, getting up and being active. Post-surgery sometimes the patient is sent home with a catheter in their pleura called a pleura evac, pleura catheter where it continues to drain the fluid once the patient is at home. They will talk with them about good nutrition. They will talk with them about keeping their immune system strong so the healing process proceeded like it should.&lt;\/p&gt; \",\"publisher\" : {\"@id\": \"https:\/\/www.mesotheliomahope.com\/#organization\"}}, {\"@type\": \"MediaObject\", \"thumbnailUrl\": \"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/mesothelioma-surgery-MH-img.jpg\", \"embedUrl\": \"https:\/\/www.youtube.com\/embed\/AnhSw9b-e-s\", \"uploadDate\": \"2021-04-26T00:00:00-04:00\", \"duration\": \"T02M16S\", \"startTime\": \"0:00\", \"endTime\": \"2:16\"}]}<\/script><\/div>\n<p>Patients with late-stage mesothelioma may be eligible for palliative surgeries too. The goal in these cases is to relieve difficult symptoms such as pain and trouble breathing and improve quality of life.<\/p>\n<p>Whether undergoing curative or palliative mesothelioma surgery, patients must be in good overall health to withstand the operation and any postoperative complications.<\/p>\n<div class=\"quick-facts-shortcode\"><style type=\"text\/css\">.quick-facts-shortcode{border-radius:0 10px 10px 0;border:1px solid #E6E7EC;margin:40px 0;overflow:hidden;padding:20px 20px 20px 24px;position:relative;font-size:17px;box-shadow:0 20px 20px rgba(34,34,34,0.03)}.quick-facts-shortcode:before{content:\" \";position:absolute;top:0;bottom:0;width:4px;height:100%;left:0;background:linear-gradient(180deg, #0FAEBF 0%, #fff 100%)}.quick-facts-shortcode .quick-facts-shortcode-heading{color:#100134;display:block;font-size:22px;margin-bottom:20px}.quick-facts-shortcode .content ul{margin-left:24px;margin-bottom:0}.quick-facts-shortcode .content ul li:before{width:6px;height:6px;top:10px;left:-22px;-webkit-border-radius:50%;-moz-border-radius:50%;border-radius:50%;border:none;background:#F38A6B}.quick-facts-shortcode .content ul li:last-child{margin-bottom:0}.quick-facts-shortcode .content p:empty{display:none}@media screen and (min-width: 1024px){.quick-facts-shortcode{padding:25px 25px 25px 30px}.quick-facts-shortcode-heading{font-size:22px;margin-bottom:20px}}<\/style><strong class=\"quick-facts-shortcode-heading\">Quick Facts About EPP vs P\/D<\/strong><div class=\"content\"><ul>\n<li>Cancer surgeons often disagree about which procedure is most effective. However, P\/D patients had better outcomes regarding 30-day mortality and median survival, according to a study published in <em>Updates in Surgery<\/em> in September 2022.<\/li>\n<li>P\/D is safer. Approximately <strong>2-7% of EPP patients<\/strong> will not survive the procedure compared to <strong>1-5% of P\/D patients.<\/strong><\/li>\n<li><a href=\"\/treatment\/clinical-trials\/\">Mesothelioma clinical trials<\/a> continue to study EPP and P\/D in combination with other treatments such as chemotherapy, <a href=\"\/treatment\/immunotherapy\/\">immunotherapy<\/a>, and radiation therapy. For example, researchers are studying whether vaccines can be used to prevent cancer from coming back after EPP or P\/D surgery.<br \/>\n<\/div><\/div><\/li>\n<\/ul>\n<p>Our team can help determine if an EPP, a P\/D, or other treatments are right for your case. Learn more in our <strong>Free Mesothelioma Guide<\/strong>.<\/p>\n<div data-vqueid=\"1361\" class=\"widget widget_oscar-vque default image-right has-img\"><style type=\"text\/css\" data-style=\"default\">.widget_oscar-vque.default{margin:60px auto;max-width:315px}.widget_oscar-vque.default:first-child{margin-top:0}.widget_oscar-vque.default:last-child{margin-bottom:0}.widget_oscar-vque.default>a{background:#2F293D;display:block;padding:20px;border-radius:10px;color:#fff;text-decoration:none}.widget_oscar-vque.default img{margin:0 auto 20px;max-width:150px;width:100%}.widget_oscar-vque.default .vque-content{font-size:16px;text-align:center}.widget_oscar-vque.default strong.subheading{display:block;line-height:1;font-size:14px;margin-bottom:5px}.widget_oscar-vque.default strong.heading{font-size:20px;display:block;margin:0 0 25px}.widget_oscar-vque.default ul{font-size:16px;text-align:left;list-style:none;max-width:265px;line-height:1.4;margin:15px auto 25px}.widget_oscar-vque.default ul li{padding-left:28px;margin-bottom:10px}.widget_oscar-vque.default ul li:last-child{margin-bottom:0}.widget_oscar-vque.default ul li:before{font-family:\"mesohope\" !important;font-display:swap;speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;content:\"\\e904\";border:none;position:absolute;left:0;top:0;background:#0FAEBF;width:20px;height:20px;border-radius:20px;line-height:20px;text-align:center;font-size:12px}.widget_oscar-vque.default strong.button.arrow{width:100%}@media screen and (min-width: 768px){.widget_oscar-vque.default{max-width:620px}.widget_oscar-vque.default>a{padding:0}.widget_oscar-vque.default>a>div{display:block;display:flex;align-items:center;flex-wrap:wrap;flex-direction:row-reverse}.widget_oscar-vque.default>a>div>div{padding:0 25px 0 0;width:41%}.widget_oscar-vque.default>a .vque-content{width:59%;padding:30px;text-align:left}.widget_oscar-vque.default img{max-width:90%;margin-bottom:0}.widget_oscar-vque.default strong.subheading{font-size:16px}.widget_oscar-vque.default strong.heading{font-size:24px;margin:0 0 16px}.widget_oscar-vque.default ul{max-width:none}.widget_oscar-vque.default strong.button.arrow{width:auto}.widget_oscar-vque.default.image-left>a>div{display:block;position:relative;overflow:hidden}.widget_oscar-vque.default.image-left>a>div img{max-width:100%}.widget_oscar-vque.default.image-left>a>div>div{float:left}.widget_oscar-vque.default.image-left>a>div>div:first-child{width:27%;padding:30px}.widget_oscar-vque.default.image-left>a>div>div.vque-content{width:73%;padding-left:0}}<\/style><a href=\"\/mesothelioma-guide\/\" title=\"Get Your Free 2026 Mesothelioma Guide\" class=\"cte\" data-ce-category=\"In-Content Ads\" data-ce-label=\"Get Your Free 2026 Mesothelioma Guide Ad\" data-desktop-image=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/guide-image-vertical.png\"><div><div><div class=\"image-fade\"><img loading=\"lazy\" decoding=\"async\" width=\"296\" height=\"290\" src=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/guide-image-vertical.png\" class=\"attachment-Medium size-Medium wp-post-image\" alt=\"Mesothelioma Guide Images\" srcset=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/guide-image-vertical.png 296w, https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/guide-image-vertical-55x55.png 55w, https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2020\/07\/guide-image-vertical-102x100.png 102w\" sizes=\"(max-width: 296px) 100vw, 296px\" \/><\/div><\/div><div class=\"vque-content\"><strong class=\"heading\">Get Your Free 2026 Mesothelioma Guide<\/strong><ul>\n<li>Symptoms &amp; staging<\/li>\n<li>Average prognosis<\/li>\n<li>Life-extending treatments<\/li>\n<\/ul>\n<p><strong class=\"button arrow\" title=\"Get Your Free Guide\">Get Your Free Guide<\/strong><\/p><\/div><\/div><\/a><\/div>\n<h3>A Look at the 2 Surgeries<\/h3>\n<p>EPP, the more aggressive surgery, involves <strong>removal of the diseased lung,<\/strong> along with the pleura (lung lining), pericardium (heart lining), part of the diaphragm, and nearby lymph nodes. Recovery is extensive, with up to two weeks spent in the hospital followed by an additional three months of recovery at home or in a rehabilitation facility.<\/p>\n<p>P\/D is a two-part surgical procedure that <strong>spares the affected lung.<\/strong> Instead, the surgeon removes the lung lining during pleurectomy (and in some cases nearby chest cavity tissue) and visible tumors during decortication. Recovery is one week in the hospital and an additional month at home or in a rehabilitation facility.<\/p>\n<p>The goal of a P\/D is macroscopic complete resection, which means <strong>complete or almost complete removal of tumor tissue.<\/strong><\/p>\n<div class=\"callout-shortcode\"><style type=\"text\/css\">.callout-shortcode{background:#EDF8F9;border-radius:0 10px 10px 0;padding:20px 20px 20px 24px;margin:40px 0;max-width:860px;position:relative}.callout-shortcode:before{content:\" \";position:absolute;top:0;bottom:0;width:4px;height:100%;left:0;background:linear-gradient(180deg, #0FAEBF 0%, #EDF8F9 100%)}.callout-shortcode .callout-shortcode-heading{color:#100134;font-size:22px;display:block;margin:0 0 15px}.callout-shortcode:first-child{margin-top:0}.callout-shortcode:last-child{margin-bottom:0}.callout-shortcode .img-wrap{margin-bottom:20px}.callout-shortcode.hope>strong{padding-top:17px;padding-bottom:15px;padding-left:74px}.callout-shortcode.hope .img-wrap{left:22px;position:absolute;top:20px;width:59px}.callout-shortcode.hope .img-wrap:before{background:#fff url(\/wp-content\/uploads\/2024\/02\/mh-icon-65.png);background-position:center;background-repeat:no-repeat;background-size:70%;border-radius:30px;bottom:-10px;content:\"\";display:block;height:30px;position:absolute;right:-10px;width:30px}@media screen and (min-width: 768px){.callout-shortcode{padding:25px 25px 25px 34px}.callout-shortcode .callout-shortcode-heading{font-size:24px}.callout-shortcode .img-wrap{margin-bottom:0}.callout-shortcode.has-img{min-height:170px;padding-left:175px}.callout-shortcode.has-img .img-wrap{position:absolute;left:29px;top:25px;width:119px}.callout-shortcode.hope.has-img{padding-left:170px}.callout-shortcode.hope>strong{padding:0}.callout-shortcode.hope .img-wrap{width:109px}.callout-shortcode.hope .img-wrap:before{background-size:66%;bottom:-15px;height:42px;width:42px}}<\/style><div class=\"content\"><p>Both an EPP and a P\/D are usually <strong>part of a multimodal treatment plan.<\/strong> This means that they are often used in combination with other <a href=\"\/treatment\/\">mesothelioma treatments<\/a> such as radiotherapy.<\/p>\n<\/div><\/div>\n<p>Choosing between the two surgical approaches is an important decision that you should make in consultation with a mesothelioma specialist.<\/p>\n<p>Looking for a mesothelioma doctor near you? Our team can help you find one.<\/p>\n<p><span class=\"s1\"><div id=\"25223\" class=\"one-off-25223 widget widget_oscar-vque one-off\" data-vqueid=\"25223\"><style type=\"text\/css\" data-style=\"one-off\">.one-off-25223{margin:60px auto}.one-off-25223 a{box-shadow:0 4px 4px 0 rgba(0,0,0,.25);display:block;background:#e4f4f6;padding:20px 25px 200px;text-decoration:none;color:inherit;position:relative;overflow:hidden;max-width:360px;margin:0 auto}.one-off-25223 a::before{background:#0FAEBF;border-radius:50% 50% 0 0;content:'';position:absolute;bottom:0;height:19%;width:135%;left:-60px;z-index:0}.one-off-25223 .vque-content,.one-off-25223 .image-wrap{z-index:1;position:relative}.one-off-25223 .image-wrap{width:100%;position:absolute;left:-10px;bottom:-15px}.one-off-25223 .image-wrap img{position:absolute;bottom:0;width:100%;max-width:unset;left:0}.one-off-25223 .heading{font-size:27px;line-height:33px;text-align:center;display:block;max-width:340px;margin:5px auto 25px}.one-off-25223 ul{list-style:none;margin:-10px auto 22px;text-align:left;font-size:16px;line-height:26px}.one-off-25223 ul li{margin:0 0 15px;position:relative;padding-left:35px}.one-off-25223 ul li::before{font-family:\"mesohope\"!important;speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;content:\"\\e904\";background:#0FAEBF;width:21px;height:21px;display:block;position:absolute;left:0;top:4px;border-radius:50%;color:#fff;font-size:11px;text-align:center;line-height:21px}.one-off-25223 p{text-align:center}.one-off-25223 .button{padding:12px 16px;display:block}@media screen and (min-width:768px){.one-off-25223 a{max-width:620px;padding:30px 30px 35px;border-radius:0 0 4px 4px}.one-off-25223 a::before{border-radius:50%;height:155%;width:150%;right:-550px;left:unset;bottom:-295px}.one-off-25223 .heading{text-align:left;margin:2px 0 25px;max-width:unset;font-size:24px}.one-off-25223 ul{margin:-7px 0 30px;max-width:365px;line-height:23px}.one-off-25223 ul li::before{top:1px}.one-off-25223 .image-wrap{max-width:unset;position:absolute;right:-25px;bottom:-35px;margin:0 0 -2px;left:unset;width:380px}.one-off-25223 .image-wrap img{position:relative;bottom:0;left:0;width:380px}.one-off-25223 .button{display:inline-block;padding:14px 25px}.one-off-25223 p{text-align:left}}@media screen and (min-width:1150px){.one-off-25223 a{padding:30px}}<\/style><a href=\"\/get-matched\/\" title=\"Get Matched With a Mesothelioma Doctor\" class=\"cte\" data-ce-category=\"In-Content Ads\" data-ce-label=\"Get Matched With a Mesothelioma Doctor Ad\"><div>\r\n    <div class=\"vque-content\">\r\n        <strong class=\"heading\">Get Matched With a Mesothelioma Doctor<\/strong>\r\n        <ul>\r\n            <li>Find top specialists near you<\/li>\r\n            <li>Seek compensation for travel & care<\/li>\r\n            <li>Get medical guidance<\/li>\r\n        <\/ul>\r\n        <p><strong class=\"button arrow\" title=\"Get Matched Now\">Get Matched Now<\/strong><\/p>\r\n    <\/div>\r\n    <div class=\"image-wrap\"><img decoding=\"async\"  src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"\/wp-content\/uploads\/2024\/07\/Doctors-ad.png\" alt=\"Get Matched With a Mesothelioma Doctor\" class=\"lazyload\" ><\/div>\r\n<\/div><\/a><\/div><\/span><\/p>\n<h2 id=\"difference\">Difference Between EPP and P\/D<\/h2>\n<p>Both the EPP and the P\/D are major surgical treatments performed by only the top thoracic surgeons at mesothelioma cancer centers and other large medical centers. Patients should understand how the two procedures differ before, during, and after the operation.<\/p>\n<h3>Extrapleural Pneumonectomy Procedure<\/h3>\n<ul>\n<li><strong>Operation time:<\/strong> About 3 hours<\/li>\n<li><strong>In-hospital recovery:<\/strong> Up to 2 weeks<\/li>\n<li><strong>At-home recovery:<\/strong> About 3 months<\/li>\n<\/ul>\n<p>Before surgery, doctors run a variety of tests to ensure you are healthy enough to undergo the operation. <strong>It is crucial that your lung function is sufficient for you to live with one lung<\/strong> and breathe without assistance. Doctors will also scan your chest cavity to confirm that the cancer has not metastasized to other areas.<\/p>\n<p>EPP is performed under general anesthesia. The surgeon makes an incision along the front or side of the chest to enter the lung space. The surgeon then removes the affected lung, along with the pleura, pericardium, part of the diaphragm, and nearby lymph nodes.<\/p>\n<p>Recovery is extensive. Doctors will prescribe a combination of rest and rehabilitation once you&#8217;re out of the hospital.<\/p>\n<h3>Pleurectomy With Decortication Procedure<\/h3>\n<ul>\n<li><strong>Operation time:<\/strong> About 5 hours<\/li>\n<li><strong>In-hospital recovery:<\/strong> Up to 1 week<\/li>\n<li><strong>At-home recovery:<\/strong> About 1 month<\/li>\n<\/ul>\n<p>As with an EPP, patients must be in good general health to undergo a P\/D procedure. Doctors will measure overall health and fitness, while also confirming tumor locations ahead of the decortication process.<\/p>\n<p>A P\/D is performed under general anesthesia. The surgeon makes an incision along the back and side to enter the chest cavity. Other incisions may be necessary if additional access points are required to remove tumors.<\/p>\n<p>The surgeon first removes the pleura and possibly the pericardium, part of the diaphragm, and other diseased chest cavity tissue. <strong>In the decortication stage, the surgeon removes visible tumors<\/strong> and may use a variety of techniques to eliminate unseen mesothelioma.<\/p>\n<p>Most patients are able to resume daily activities after the month-long recovery period at home. The most common complication is a prolonged air leak.<\/p>\n<p>If you or someone you love is being treated for mesothelioma, our free <strong>Treatment Planner<\/strong> can help you stay organized.<\/p>\n<p class=\"p1\"><span class=\"s1\"><div data-vqueid=\"18541\" class=\"widget widget_oscar-vque default-w-caption has-img\"><style type=\"text\/css\" data-style=\"default-w-caption\">.widget_oscar-vque.default-w-caption{margin:60px auto;max-width:315px}.widget_oscar-vque.default-w-caption:first-child{margin-top:0}.widget_oscar-vque.default-w-caption:last-child{margin-bottom:0}.widget_oscar-vque.default-w-caption>a{background:#2F293D;display:block;padding:20px;border-radius:10px;color:#fff;text-decoration:none}.widget_oscar-vque.default-w-caption .img-wrap.has-caption{text-align:center}.widget_oscar-vque.default-w-caption img{margin:0 auto 20px;max-width:180px;width:100%}.widget_oscar-vque.default-w-caption .image-fade{position:relative}.widget_oscar-vque.default-w-caption .image-fade img{position:relative;margin:0 auto;z-index:0}.widget_oscar-vque.default-w-caption .image-fade:after{content:\"\";background:#2f293d;background:linear-gradient(0deg, #2f293d 0%, rgba(47,41,61,0) 100%);filter:progid:DXImageTransform.Microsoft.gradient(startColorstr=\"#2f293d\",endColorstr=\"#2f293d\",GradientType=1);position:absolute;left:0;bottom:0;right:0;height:50px}.widget_oscar-vque.default-w-caption span.caption{display:inline-block;font-size:12px;margin:0 0 5px;background:rgba(255,255,255,0.05);padding:10px 10px;line-height:1;position:relative;top:-18px}.widget_oscar-vque.default-w-caption .vque-content{font-size:16px;text-align:center}.widget_oscar-vque.default-w-caption strong.subheading{display:block;line-height:1;font-size:14px;margin-bottom:5px}.widget_oscar-vque.default-w-caption strong.heading{font-size:20px;display:block;margin:0 0 25px}.widget_oscar-vque.default-w-caption ul{font-size:16px;text-align:left;list-style:none;max-width:265px;line-height:1.4;margin:15px auto 25px}.widget_oscar-vque.default-w-caption ul li{padding-left:28px;margin-bottom:10px}.widget_oscar-vque.default-w-caption ul li:last-child{margin-bottom:0}.widget_oscar-vque.default-w-caption ul li:before{font-family:\"mesohope\" !important;font-display:swap;speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;content:\"\\e904\";border:none;position:absolute;left:0;top:0;background:#0FAEBF;width:20px;height:20px;border-radius:20px;line-height:20px;text-align:center;font-size:12px}.widget_oscar-vque.default-w-caption strong.button.arrow{width:100%}@media screen and (min-width: 768px){.widget_oscar-vque.default-w-caption{max-width:620px}.widget_oscar-vque.default-w-caption>a{padding:0}.widget_oscar-vque.default-w-caption>a>div{display:block;display:flex;flex-wrap:wrap;align-items:center;flex-direction:row-reverse}.widget_oscar-vque.default-w-caption>a>div img{margin-bottom:0;max-width:100%}.widget_oscar-vque.default-w-caption>a>div>div{padding:0 25px 0 0;width:41%}.widget_oscar-vque.default-w-caption>a .vque-content{width:59%;padding:30px;text-align:left}.widget_oscar-vque.default-w-caption strong.subheading{font-size:16px}.widget_oscar-vque.default-w-caption strong.heading{font-size:24px;margin:0 0 16px}.widget_oscar-vque.default-w-caption ul{max-width:none}.widget_oscar-vque.default-w-caption strong.button.arrow{width:auto}}<\/style><a href=\"\/treatment-planner\/\" title=\"Mesothelioma Treatment Planner\" class=\"cte\" data-ce-category=\"In-Content Ads\" data-ce-label=\"Mesothelioma Treatment Planner Ad\"><div><div class=\"img-wrap has-caption\"><div class=\"image-fade\"><img loading=\"lazy\" decoding=\"async\" width=\"258\" height=\"217\" src=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2021\/05\/planner-image.png\" class=\"attachment-Medium size-Medium wp-post-image\" alt=\"Cancer treatment planner\" srcset=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2021\/05\/planner-image.png 258w, https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2021\/05\/planner-image-119x100.png 119w\" sizes=\"(max-width: 258px) 100vw, 258px\" \/><\/div><span class=\"caption\">$46.50 value<\/span><\/div><div class=\"vque-content\"><strong class=\"subheading\">Limited-Time Offer<\/strong><strong class=\"heading\">Mesothelioma Treatment Planner<\/strong><ul>\n<li>Appointment tracker<\/li>\n<li>Diet and nutrition tips<\/li>\n<li>Tested by over 100 survivors<\/li>\n<\/ul>\n<p><strong class=\"button arrow\" title=\"Get Your Free Planner\">Get Your Free Planner<\/strong><\/p><\/div><\/div><\/a><\/div><\/span><\/p>\n<h2 id=\"goals\">EPP vs P\/D Goals and Benefits<\/h2>\n<p>When performed on the right candidates, both <a href=\"\/treatment\/surgery\/\">mesothelioma surgeries<\/a> offer the potential to extend life expectancy and relieve painful symptoms. However, the goals and benefits vary for each, depending on the patient&#8217;s <a href=\"\/mesothelioma\/stages\/\">mesothelioma stage<\/a> and other factors.<\/p>\n<h3>Extrapleural Pneumonectomy Goals<\/h3>\n<p>The goal of an EPP is to remove as much cancer as possible to reduce the probability of metastasis (cancer spread) and recurrence.<\/p>\n<p>While an EPP is considered radical surgery because it removes the entire lung, <strong>the recurrence rate after surgery is the lowest of the two procedures at 33%.<\/strong><\/p>\n<p>A palliative EPP may be an option for patients with late-stage mesothelioma. EPP patients suffer from pulmonary symptoms such as shortness of breath and coughing. EPP in these cases is not curative, but some studies suggest <a href=\"\/treatment\/palliative\/\">palliative treatment<\/a> helps with the management of <a href=\"\/mesothelioma\/pleural\/\">malignant pleural mesothelioma<\/a> and may <strong>extend overall survival.<\/strong><\/p>\n<h3>Pleurectomy With Decortication Goals<\/h3>\n<p>For curative P\/D surgery, the main goal is to eliminate mesothelioma before it spreads. The <strong>65% recurrence rate after P\/D<\/strong> is higher than after EPP, but sparing the lung may be optimal for some patients.<\/p>\n<p>Patients with late-stage mesothelioma who are in good general health may be eligible for palliative P\/D. Removing tumor masses from the lung space eases difficulty breathing immediately after the operation and enhances patients&#8217; quality of life.<\/p>\n<h2 id=\"expectancy\">EPP vs P\/D Life Expectancy<\/h2>\n<p>Life expectancy refers to the average time patients can expect to live following surgery. <a href=\"\/mesothelioma\/statistics\/\">Current statistics<\/a> suggest <strong>EPP provides a longer life expectancy than P\/D.<\/strong><\/p>\n<ul>\n<li><strong>Extrapleural pneumonectomy life expectancy:<\/strong> 10 to 35 months<\/li>\n<li><strong>Pleurectomy with decortication life expectancy: <\/strong>8 to 22 months<\/li>\n<\/ul>\n<p>However, it is important to note that survival rate statistics are unique to each patient and the individual factors involved.<\/p>\n<p>Patients who undergo either procedure can extend their life expectancy further by combining surgery with other treatments in a <a href=\"\/treatment\/multimodal-therapy\/\">multimodal therapy approach<\/a>. Your mesothelioma specialist may recommend a combination of <a href=\"\/treatment\/chemotherapy\/\">chemotherapy<\/a>, radiation, immunotherapy, <a href=\"\/treatment\/alternative\/\">alternative treatments<\/a> (such as special diets or exercise regimens), or clinical trials.<\/p>\n<h2>EPP vs P\/D Mortality Rates<\/h2>\n<p>Mortality rate refers to the percentage of patients who die during or shortly after the operation. Risk factors include the patient\u2019s age, gender, mesothelioma stage, other medical conditions, and overall health.<\/p>\n<ul>\n<li><strong>Extrapleural pneumonectomy mortality rate:<\/strong> 2\u20137%<\/li>\n<li><strong>Pleurectomy with decortication mortality rate:<\/strong> 1\u20135%<\/li>\n<\/ul>\n<p>Operating on and near vital organs always carries a risk of complication. However, <strong>new <a href=\"\/treatment\/cure\/\">mesothelioma research<\/a> and medical advances continue to lower the morbidity rate of both surgeries<\/strong>, as well as the probability of complications.<\/p>\n<p>Not sure which mesothelioma treatment is right for you? Our list of important questions to ask your doctor can help you get the answers you need.<\/p>\n<div data-vqueid=\"18575\" class=\"widget widget_oscar-vque outline image-left has-img\"><style type=\"text\/css\" data-style=\"outline\">.widget_oscar-vque.outline{margin:60px auto;max-width:315px}.widget_oscar-vque.outline:first-child{margin-top:0}.widget_oscar-vque.outline:last-child{margin-bottom:0}.widget_oscar-vque.outline>a{border:1px solid #E6E7EC;padding:20px;box-shadow:0 20px 20px rgba(34,34,34,0.03);border-radius:10px;color:#383441;display:block;text-decoration:none}.widget_oscar-vque.outline img{margin:0 auto 20px;max-width:180px}.widget_oscar-vque.outline .vque-content{color:#383441;font-size:16px;text-align:center}.widget_oscar-vque.outline strong.subheading{color:#100134;display:block;line-height:1;font-size:14px;margin-bottom:5px}.widget_oscar-vque.outline strong.heading{color:#100134;font-size:20px;display:block;margin:0 0 20px}.widget_oscar-vque.outline ul{font-size:16px;text-align:left;list-style:none;max-width:265px;margin:15px auto 25px}.widget_oscar-vque.outline ul li{padding-left:28px;margin-bottom:10px}.widget_oscar-vque.outline ul li:last-child{margin-bottom:0}.widget_oscar-vque.outline ul li:before{font-family:\"mesohope\" !important;font-display:swap;speak:none;color:#fff;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;content:\"\\e904\";border:none;position:absolute;left:0;top:3px;background:#0FAEBF;width:20px;height:20px;border-radius:20px;line-height:20px;text-align:center;font-size:12px}.widget_oscar-vque.outline strong.button.arrow{width:100%}.widget_oscar-vque.outline.image-left>a{position:relative;border-radius:0 10px 10px 0}.widget_oscar-vque.outline.image-left>a:before{content:\" \";position:absolute;top:0;bottom:0;width:4px;height:100%;left:0;background:linear-gradient(180deg, #0FAEBF 0%, #fff 100%)}@media screen and (min-width: 768px){.widget_oscar-vque.outline{max-width:620px}.widget_oscar-vque.outline img{max-width:100%}.widget_oscar-vque.outline>a{padding:0}.widget_oscar-vque.outline>a>div{display:block;display:flex;flex-wrap:wrap;align-items:flex-end;flex-direction:row-reverse}.widget_oscar-vque.outline>a>div>div{width:41%}.widget_oscar-vque.outline>a .vque-content{width:59%;padding:30px;text-align:left}.widget_oscar-vque.outline strong.subheading{font-size:16px}.widget_oscar-vque.outline strong.heading{font-size:24px;margin:0 0 13px}.widget_oscar-vque.outline ul{max-width:none}.widget_oscar-vque.outline strong.button.arrow{width:auto}.widget_oscar-vque.outline.image-left>a>div{display:block;position:relative;overflow:hidden}.widget_oscar-vque.outline.image-left>a>div>div{float:left}.widget_oscar-vque.outline.image-left>a>div>div:first-child{width:27%;padding:30px}.widget_oscar-vque.outline.image-left>a>div>div.vque-content{width:73%;padding-left:0;color:#383441}}<\/style><a href=\"\/doctor-questions\/\" title=\"Free Download: 14 Questions to Ask\u00a0Your Doctor\" class=\"cte\" data-ce-category=\"In-Content Ads\" data-ce-label=\"Free Download: 14 Questions to Ask\u00a0Your Doctor Ad\" data-desktop-image=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2021\/05\/questions-to-ask-doctor-ipad.png\"><div><div><img loading=\"lazy\" decoding=\"async\" width=\"95\" height=\"144\" src=\"https:\/\/www.mesotheliomahope.com\/wp-content\/uploads\/2021\/05\/questions-to-ask-doctor-ipad.png\" class=\"attachment-Medium size-Medium wp-post-image\" alt=\"14 Questions to Ask Your Doctor packet\" \/><\/div><div class=\"vque-content\"><strong class=\"heading\">Free Download: 14 Questions to Ask\u00a0Your Doctor<\/strong><ul>\n<li>Preparing for treatment<\/li>\n<li>Finding clinical trials<\/li>\n<li>Getting a second opinion<\/li>\n<\/ul>\n<p><strong class=\"button yellow arrow\" title=\"Get Your Free Download\">Get Your Free Download<\/strong><\/p><\/div><\/div><\/a><\/div>\n<h2 id=\"choosing\">Choosing Between EPP and P\/D<\/h2>\n<p>Medical professionals disagree about which mesothelioma surgery is most effective. Some doctors believe that the lower recurrence rate after EPP despite the removal of the entire lung offers patients the best prognosis. Other doctors think that the lung-saving P\/D is the better option.<\/p>\n<p>There are many facts to consider when choosing between EPP and P\/D surgery. <a href=\"\/about\/contact\/\">Contact one of our <strong>Patient Advocates<\/strong> today<\/a> for more information about mesothelioma treatments and clinical trials.<\/p>\n<div class=\"faq-wrap\"><h2 class=\"faq-wrap-heading\">EPP vs P\/D FAQs<\/h2><div class=\"faq\" data-faq=\"1\"><h3 class=\"faq-heading\">What's the difference between EPP and P\/D?<\/h3><div><p>Extrapleural pneumonectomy (EPP) and pleurectomy with decortication (P\/D) are the two primary surgeries for patients with pleural mesothelioma.<\/p>\n<p><strong>An EPP is a much more aggressive procedure<\/strong> as the surgeon removes the diseased lung plus the tissue lining the lungs and heart.<\/p>\n<p>In contrast, a <strong>P\/D is a lung-sparing surgery.<\/strong> In this two-part procedure, surgeons first remove the lung lining and sometimes the heart lining and part of the diaphragm. Next, they remove visible and unseen tumors during decortication.<\/p>\n<\/div><\/div><div class=\"faq\" data-faq=\"2\"><h3 class=\"faq-heading\">Which is better? EPP or P\/D? <\/h3><div><p>Even doctors specializing in mesothelioma can&#8217;t agree on whether extrapleural pneumonectomy (EPP) or pleurectomy with decortication (P\/D) is the best surgical procedure to treat pleural mesothelioma.<\/p>\n<p>EPP is a riskier surgery with <strong>mortality rates at 2-7% compared to 1-5% for P\/D<\/strong> but has a lower recurrence rate (chance of the cancer coming back).<\/p>\n<p>Patients recover more quickly from P\/D and typically enjoy a higher quality of life.<\/p>\n<\/div><\/div><div class=\"faq\" data-faq=\"3\"><h3 class=\"faq-heading\">How can I get an EPP or a P\/D?<\/h3><div><p>Patients researching treatment options should talk to their doctor about the treatment that is best for them. Call <a href=\"tel:+18666088933\" title=\"Click to call (866) 608-8933\" class=\"in-content-tel-link\" data-ce-category=\"Click to Call\" data-ce-label=\"(866) 608-8933\">(866) 608-8933<\/a> to find top doctors now.<\/p>\n<p>Either surgery may be available to early-stage pleural mesothelioma patients. EPPs and P\/Ds are not used to treat other types of mesothelioma. Further, they may not be available to late-stage patients as the cancer may have spread too far.<\/p>\n<\/div><\/div><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\",\"@type\": \"FAQPage\",\"mainEntity\": [{\"@type\": \"Question\",\"name\": \"What's the difference between EPP and P\/D?\",\"acceptedAnswer\":{\"@type\": \"Answer\",\"text\": \"&lt;p&gt;Extrapleural pneumonectomy (EPP) and pleurectomy with decortication (P\/D) are the two primary surgeries for patients with pleural mesothelioma.&lt;\/p&gt;\n&lt;p&gt;&lt;strong&gt;An EPP is a much more aggressive procedure&lt;\/strong&gt; as the surgeon removes the diseased lung plus the tissue lining the lungs and heart.&lt;\/p&gt;\n&lt;p&gt;In contrast, a &lt;strong&gt;P\/D is a lung-sparing surgery.&lt;\/strong&gt; In this two-part procedure, surgeons first remove the lung lining and sometimes the heart lining and part of the diaphragm. Next, they remove visible and unseen tumors during decortication.&lt;\/p&gt;\n\"}},{\"@type\": \"Question\",\"name\": \"Which is better? EPP or P\/D? \",\"acceptedAnswer\":{\"@type\": \"Answer\",\"text\": \"&lt;p&gt;Even doctors specializing in mesothelioma can&amp;#8217;t agree on whether extrapleural pneumonectomy (EPP) or pleurectomy with decortication (P\/D) is the best surgical procedure to treat pleural mesothelioma.&lt;\/p&gt;\n&lt;p&gt;EPP is a riskier surgery with &lt;strong&gt;mortality rates at 2-7% compared to 1-5% for P\/D&lt;\/strong&gt; but has a lower recurrence rate (chance of the cancer coming back).&lt;\/p&gt;\n&lt;p&gt;Patients recover more quickly from P\/D and typically enjoy a higher quality of life.&lt;\/p&gt;\n\"}},{\"@type\": \"Question\",\"name\": \"How can I get an EPP or a P\/D?\",\"acceptedAnswer\":{\"@type\": \"Answer\",\"text\": \"&lt;p&gt;Patients researching treatment options should talk to their doctor about the treatment that is best for them. Call (866) 608-8933 to find top doctors now.&lt;\/p&gt;\n&lt;p&gt;Either surgery may be available to early-stage pleural mesothelioma patients. EPPs and P\/Ds are not used to treat other types of mesothelioma. Further, they may not be available to late-stage patients as the cancer may have spread too far.&lt;\/p&gt;\n\"}}]}<\/script><style type=\"text\/css\">.faq-wrap{background:#E4F4F6;padding:20px 15px;margin:40px -15px}.faq-wrap:first-child{margin-top:0}.faq-wrap:last-child{margin-bottom:0}.faq-wrap .faq{background:#fff;padding:15px;border-radius:10px;box-shadow:0px 20px 20px rgba(0,0,0,0.03);margin:15px 0 0 0}.faq-wrap .faq:first-child{margin-top:0}.faq-wrap .faq .faq-heading{color:#100134;font-size:21px;margin-bottom:15px}.faq-wrap .faq p{margin-bottom:20px;line-height:1.5}.faq-wrap .faq p:last-child{margin-bottom:0}.faq-wrap .faq .learn-more{color:#248AFF;display:block;padding-right:17px;text-align:right;position:relative;line-height:1}.faq-wrap .faq .learn-more:visited{color:#248AFF}.faq-wrap .faq .learn-more:visited:hover,.faq-wrap .faq .learn-more:hover{color:#34d}.faq-wrap .faq .learn-more:after{font-family:\"mesohope\" !important;speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;content:\"\\e905\";position:absolute;right:0;top:3px}h2.faq-wrap-heading{margin-bottom:25px}@media screen and (min-width: 768px){.faq-wrap{padding:25px 15px}}@media screen and (min-width: 1024px){.faq-wrap{border-radius:10px;margin-left:auto;margin-right:auto;padding:25px}.faq-wrap .faq{padding:25px}.faq-heading{font-size:24px}}<\/style><\/div>\n","protected":false},"excerpt":{"rendered":"<p>EPP vs P\/D Overview Surgery is a significant part of many mesothelioma treatment plans. Both extrapleural pneumonectomy (EPP) and pleurectomy with decortication (P\/D) are thoracic surgeries used to treat malignant pleural mesothelioma. These surgeries are best suited for patients with early-stage (stage 1 or 2) pleural mesothelioma. The main goal of these surgical interventions is&hellip;<\/p>\n","protected":false},"author":49,"featured_media":717,"parent":130,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-829","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/pages\/829","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/comments?post=829"}],"version-history":[{"count":0,"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/pages\/829\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/pages\/130"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/media\/717"}],"wp:attachment":[{"href":"https:\/\/www.mesotheliomahope.com\/wp-json\/wp\/v2\/media?parent=829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}