What Are the Pros and Cons of EPP and P/D Surgeries?

So the pros of the extrapleural pneumonectomy may be that the surgeon's gonna feel like we're gonna give this patient a clean slate by removing everything, anything that may have been touching that lung because there might be a risk of leaving one tiny cell behind and they don't want to have that risk. So, if the patient is a candidate and they feel that the patient is going to do well postoperatively with just one lung, they're going to offer that as an option. Another advantage of doing the extrapleural pneumonectomy is for the radiation interventionalist, so when they go back in and do radiation, post surgery he also has a clean slate, so he's not worried about affecting, the preserved lung, so he doesn't have to worry about damaging it. The pros of PD is, the surgery is much shorter, the recovery is much shorter, patients do much better, when they keep their lung preserved, and a surgeon might choose to do a PD if they feel that they're able to get all of the cancer out, and make the patient cancer free free post operatively. The cons of an EPP is it's a pretty big surgery. So the surgery time is much longer, the recovery time is much longer, and the risk of infection and complications post operatively may be much longer. Also, of course, a patient does much better if they have an intact lung, so removing the lung might make it a little bit more difficult for recovery and length of recovery. The cons of PND may be that a patient, may have the pleuroctomy, and be recovering three months later find out that there was cells that were left behind, because the lung was involved and they didn't know it at the time. So the risk may be, increased recurrence.