This video demonstrates the technical details of videothoracoscopic parietal pleurectomy and decortication performed through three ports for tuberculosis empyema. The patient is a 24-year old male patient suffering from dyspnea. Five years earlier the patient presented with left sided pleural tuberculosis and was given anti-tuberculosis treatment, partially reducing the pleural effusion. Decortication was planned at that time however, the patient refused surgery and no intervention was performed. During the interim 5 years the disease became encapsulated causing the patient to suffer from dyspnea.
