Pulmonary Decortication (Open and MIS Approaches)

  • Ekene A. Onwuka
  • Christopher K. BreuerEmail author


This chapter describes pulmonary decortication performed via the thoracoscopic and open approach. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation that provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: lung isolation, safe entry into the thoracic cavity, takedown of adhesions between the lung and chest wall, aspiration of loculated fluid, and chest tube drainage.


Pediatric surgery Operative dictation Empyema Hemothorax Video-assisted thoracoscopic surgery (VATS) Decortication 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.The Ohio State University Wexner Medical Center, Department of General SurgeryColumbusUSA
  2. 2.Nationwide Children’s Hospital, Department of Pediatric SurgeryColumbusUSA

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