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Related Concept Videos

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Updated: Apr 6, 2026

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[Endoscopic surgery accelerates recovery from empyema].

Annu Nummi, Jari Räsänen, Juha Kauppi

    Duodecim; Laaketieteellinen Aikakauskirja
    |August 4, 2015
    PubMed
    Summary

    Thoracic empyema surgery is increasingly common. Thoracoscopic decortication offers shorter hospital stays and fewer reoperations, making it the preferred initial surgical approach for pleural empyema.

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    Area of Science:

    • Thoracic surgery
    • Pulmonology
    • Infectious diseases

    Context:

    • Rising incidence of thoracic empyema necessitates effective treatment strategies.
    • Conventional therapy for empyema includes drainage and antibiotics, with surgery required for approximately 30% of patients.
    • Helsinki University Hospital treated 182 patients for pleural empyema between 2011 and 2013.

    Purpose:

    • To evaluate the effectiveness of different surgical approaches for pleural empyema.
    • To compare thoracoscopic decortication with open surgery in terms of patient outcomes.
    • To establish the optimal first-line surgical procedure for pleural empyema.

    Summary:

    • A study of 182 patients with pleural empyema found that 44% underwent thoracoscopic decortication and 56% had open surgery.
    • Patients treated with thoracoscopic decortication experienced shorter hospital stays and required fewer reoperations compared to those undergoing open surgery.
    • The findings suggest thoracoscopic decortication should be the primary surgical intervention for pleural empyema.

    Impact:

    • Recommends thoracoscopic decortication as the preferred first-line surgical treatment for pleural empyema.
    • Highlights the benefits of minimally invasive thoracic surgery in improving patient recovery.
    • Contributes to evidence-based guidelines for managing complex thoracic infections.