ARTICLE

Volume 11,Issue 3

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26 March 2026

Evaluation of the Efficacy of Fibrous Board Stripping under Thoracoscopy for Chronic Empyema

Shaoyong Dong1 Ying Yang1* Jing Sun2
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1 Department of Thoracic Surgery, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China
2 Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China
APM 2026 , 11(3), 192–196; https://doi.org/10.18063/APM.v11i3.1670
© 2026 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Thoracoscopic-assisted fibrous plate debridement is a minimally invasive core surgical technique for the clinical treatment of chronic empyema. Existing studies demonstrate that single-port, single-incision, and auxiliary small incision techniques each possess distinct clinical advantages, including reduced postoperative pain perception and accelerated recovery. Minimally invasive surgery achieves comparable lung re-expansion outcomes to traditional thoracotomy while exhibiting lower complication rates and superior long-term patient recovery. The timing of surgical intervention directly impacts prognosis, with early intervention reducing procedural complexity and positively influencing pulmonary function recovery. This article provides a systematic review and synthesis of relevant research findings.

Keywords
Chronic empyema
Thoracoscopy
Fibrous board stripping
Efficacy evaluation
References

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[2] Liu XY; Xu F; Zhou YM; et al.; 2022; Observation on the Efficacy of Single-Port Thoracoscopic Fibrous Plate Debridement for Tuberculous Empyema. China Anti-Tuberculosis Journal; 44(2): 153–158.

[3] Wang Z; Tan H; Tang ZW; 2023; Efficacy and Safety of Single-Port Thoracoscopic Total Fibrous Plate Debridement Surgery for Tuberculous Empyema. Clinical Research; 31(7): 29–32.

[4] Wang SB; Wang J; Qian MJ; et al.; 2021; Efficacy and Prognostic Impact of Thoracoscopy-Assisted Minimally Invasive Surgery for Stage III Chronic Empyema. World Composite Medicine; 7(6): 84–86.

[5] Cheng P; Li JX; Liu X; et al.; 2021; Evaluation of the Effect of Single-Port Thoracoscopic Surgery Combined With Accelerated Rehabilitation Surgery Concept in the Treatment of Tuberculous Empyema. China Anti-Tuberculosis Journal; 43(10): 1022–1026.

[6] Tian ZG; Yin GD; Xiao J; et al.; 2024; Efficacy of Video-Assisted Thoracoscopic Fibrous Plate Debridement in the Treatment of Tuberculous Empyema. Modern Medicine and Health Research Electronic Journal; 8(24): 14–16.

[7] Zhang HD; Fang Y; Liu L; et al.; 2021; Surgical Timing for Thoracoscopic Drainage With Fibrous Plate Debridement in the Treatment of Empyema. Journal of Laparoscopic Surgery; 26(11): 810–813+829.

[8] Yang WR; Li Z; Li AM; et al.; 2021; Impact of Different Operative Timing for Pleural Fibrous Plate Stripping on Treatment Efficacy of Chronic Tuberculous Empyema. Journal of Dali University; 6(4): 40–43.

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