Thoracoscopic Decortication
Minimally invasive removal of fibrous pleural rind to allow lung expansion. Treatment for empyema or complicated pleural effusion.
Full Definition
Thoracoscopic decortication is a minimally invasive surgical procedure that involves the removal of thick, fibrous tissue (cortex) from the pleural surface to allow trapped lung tissue to re-expand. This technique is commonly used in pediatric patients with empyema, complicated parapneumonic effusion, or chronic pleural disease where conservative management has failed. The procedure utilizes video-assisted thoracoscopic surgery (VATS) techniques, requiring smaller incisions and resulting in reduced postoperative pain, shorter hospital stays, and faster recovery compared to open thoracotomy. Success depends on the timing of intervention and the extent of pleural thickening.
Usage
Usage note: Specify whether partial or complete decortication was achieved in surgical documentation.
In Context
- "Thoracoscopic decortication was performed to address the thick pleural rind preventing lung expansion." — Operative report
- "Complete lung expansion was achieved following thoracoscopic decortication with removal of all fibrous tissue." — Post-operative assessment