Thoracoscopy VATS Decortication in stage 2 empyema, Delhi, Noida, India.

Thoracoscopy Decortication for stage 2 / fibrinopurulent satge empyema in a patient with parapneumonic effusion on tracheostomy for longstanding ventilatory support with failure to decanulate tracheostomy. CT thorax showed left multiloculated collection with lower lobe collapsed and non draining chest tube. Patient underwent decortication of the entrapped lung and drainage of multiloculated fluid.
Post decortication the lung was fully expanded and the tracheostomy tube was decanulated on 3rd day.