Video-Assisted Thoracoscopic Surgery for Fibrinopurulent Pleural Empyema in 67 Patients Heinz Striffeler, Matthias Gugger, Vinzenz Im Hof, Andreas Cerny,

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Video-Assisted Thoracoscopic Surgery for Fibrinopurulent Pleural Empyema in 67 Patients Heinz Striffeler, Matthias Gugger, Vinzenz Im Hof, Andreas Cerny, Markus Furrer, Hans-Beat Ris The Annals of Thoracic Surgery Volume 65, Issue 2, Pages 319-323 (February 1998) DOI: 10.1016/S0003-4975(97)01188-0

Fig. 1 Video-assisted thoracoscopic surgical debridement for stage II empyema. (A) An incision of 3 cm is made in the ventral aspect of a presumed thoracotomy line and the operator’s index finger is introduced into the chest cavity to assess the duration of the empyema and to free the underlying lung. (B) A Senning suction device (Ulrich AG, St Gallen, Switzerland) is introduced. (C) Fibrin and loculations are evacuated under endoscopic vision. (D) The fibrinous peel is dissected from the parietal and visceral surfaces. The Annals of Thoracic Surgery 1998 65, 319-323DOI: (10.1016/S0003-4975(97)01188-0)