Video-Assisted Thoracoscopic Surgery Techniques in the Treatment of Complicated Parapneumonic Effusions and Empyema

  • Giovanni L. CarboniEmail author


Parapneumonic effusions and pleural empyema are a frequent complication of pneumonia. Initial treatment in uncomplicated effusions is conservative. Complicated parapneumonic effusions require more aggressive treatment including surgery. This chapter describes current indications for surgery and an expedited approach including early videothoracoscopic-assisted deloculation and decortication. The chapter focuses on technical aspects and highlights possible pitfalls and dangers in the treatment of suppurative pleural disorders following pulmonary infection.


Pleural Space Bronchopleural Fistula Pleural Empyema Parapneumonic Effusion Argon Beam Coagulator 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Division of Thoracic SurgeryUniversity Hospital BerneZurichSwitzerland

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