The goal of this clinical trial is to compare between outcome of inter-costal tube drainage and video assisted thoracoscopic surgery in management of patients with second stage empyema. It compares the outcome of both interventions in hospital stay, cost, wether need of decortication later on or not.
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the length of hospital stay
Timeframe: From enrollment to 4 weeks
cost of treatment of the patients' in each group
Timeframe: 4 weeks
number of participants with needs of decortication later on or not, assessed by the chest X-ray and CT chest.
Timeframe: 4 weeks