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Current approach to resectable MPM at Hyogo College of Medicine. We are currently choosing the least invasive surgical procedures to achieve MCR. P/D is indicated in most cases, except those with extensive tumor invasion to the pulmonary parenchyma. Resection of the diaphragm, pericardium, and lung parenchyma is performed if required. Conversion to EPP from P/D is decided on the basis of intraoperative findings
