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Updated: Feb 2, 2026

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Single incision VATS decortication for 3rd stage empyema.

Yasser Aljehani1, Sukainah Alabkary1

  • 1Thoracic Surgery Division Department of Surgery College of Medicine King Fahad Hospital of the University Imam Abdulrahman Bin Faisal University Al-Khobar, Dammam Saudi Arabia.

Clinical Case Reports
|November 21, 2018
PubMed
Summary

Unilateral three-port video-assisted thoracoscopic surgery (U-VATS) offers less trauma and infection risk compared to conventional VATS. Mastering U-VATS is recommended for improved outcomes in stage III empyema patients.

Keywords:
VATSdecorticationempyemauniportal

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Infectious Disease Management

Background:

  • Conventional three-port video-assisted thoracoscopic surgery (VATS) is a standard approach for thoracic conditions.
  • Empyema stage III presents significant challenges in treatment and patient recovery.
  • Minimally invasive techniques aim to reduce surgical trauma and complications.

Observation:

  • Unilateral three-port VATS (U-VATS) involves a single intercostal incision, contrasting with multi-port approaches.
  • Mastery of U-VATS requires specific surgical skills and experience.
  • The study focuses on the application of U-VATS in patients diagnosed with empyema stage III.

Findings:

  • U-VATS leads to reduced intercostal trauma compared to conventional three-port VATS.
  • The U-VATS approach minimizes the spread of infection to the chest wall.
  • Successful application of U-VATS in stage III empyema is associated with positive patient outcomes.

Implications:

  • U-VATS should be considered the preferred surgical approach over conventional VATS when surgical expertise is achieved.
  • Routine adoption of U-VATS in stage III empyema cases can enhance treatment efficacy.
  • Further research may explore the long-term benefits and broader applicability of U-VATS in thoracic surgery.