Clinical Challenges in Thoracic Surgery: Complex Pleural Effusions & Empyema - Part 2 of 2

The podcast explores the surgical management of complex pleural effusions and empyema, contrasting VATS (video-assisted thoracoscopic surgery) and open thoracotomy approaches. Factors influencing the choice between VATS and open surgery are discussed, including previous thoracotomies, chest trauma, and the chronicity of the condition. The discussion covers surgical techniques such as decortication, emphasizing the importance of expanding the lung and achieving pleural apposition. Alternative surgical options for patients unfit for full decortication, such as rib resection with empyema tube placement and modified Eloesser flap procedures, are also examined. The podcast concludes with quick-hit questions reviewing key concepts.