RT Book, Section
A1 Khaitan, Puja Gaur
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170414800
T1 Fibrothorax and Decortication
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170414800
RD 2021/03/02
AB Fibrothorax  refers  to  a  pleural  cavity  that  has  thickened  visceral  and  parietal  pleurae  secondary  to  undrained  pleural  fluid.  As  a  result,  chronic  inflammation  ensues  over  time,  resulting  in  a  thick  peel  on  both  pleural  surfaces.  This  phenomenon  commonly  results  in  “trapped  lung,”  a  lung  that  is  unable  to  expand  because  of  the  thick  “rind”  that  surrounds  it.  Decortication  is  a  surgical  procedure  that  removes  the  thick  rind  on  the  lung,  permitting  the  lung  to  re-expand  and  fill  the  pleural  space.  The  term  decortication  was  first  coined  by  the  French  surgeon  Delorme  in  1894.1