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needle derma roller Top of pagePatients and methodsPatients and methods Results Discussion References Figures and TablesProtocolThe inclusion criteria were: (a) patients with diffusive malignant pleural disease; (b) no evidence of spread beyond the involved hemithorax or patients without extrathoracic metastasis; (c) cardiorespiratory function sufficient to allow the required resection; and (d) signed informed consent. The exclusion criteria were: (a) patients older than 75 years; (b) renal or myocardial failures; (c) central nervous system disease (vascular or neoplastic); and (d) WHO index Malignant pleural diseases were found during thoracoscopy for preoperative cytological and histological evaluations. Patients had a complete preoperative history and physical examination, complete blood count, liver function tests, renal function tests, electrocardiogram, chest X ray and computed tomography (CT) scan needle derma roller.