Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer

被引：6
|
作者：
Rottoli, Matteo [1 ]
Russo, Iris S. [1 ]
Bernardi, Daniele [1 ]
Bonavina, Luigi [1 ]
机构：
[1] Univ Milan, Dept Surg, IRCCS Policlin San Donato, Milan, Italy
来源：
JOURNAL OF CARDIOTHORACIC SURGERY | 2012年 / 7卷
关键词：
Esophagectomy; thoracic duct; cisterna chyli; chylotorax; cardiac tamponade; transhiatal approach; MANAGEMENT; CHYLE;
D O I：
10.1186/1749-8090-7-9
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postoperative course the patient presented recurrent episodes of hemodynamic instability mimicking cardiac tamponade, secondary to compression of the left pulmonary vein and the left atrium by a mediastinal chylocele. Mediastinal drainage and ligation of the cisterna chyli and the thoracic duct was successfully performed through a transhiatal approach.
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页数：3
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