Postoperative chylothorax with a duplicated left-sided thoracic duct: a case report and review of the literature

被引：0

作者：

Ryoma Haneda

Eisuke Booka

Kenjiro Ishii

Hirotoshi Kikuchi

Yoshihiro Hiramatsu

Kinji Kamiya

Takeshi Aramaki

Hiroya Takeuchi

Yasuhiro Tsubosa

机构：

[1] Shizuoka Cancer Center,Division of Esophageal Surgery

[2] Hamamatsu University School of Medicine,Department of Surgery

[3] Shizuoka Cancer Center,Division of Interventional Radiology

来源：

General Thoracic and Cardiovascular Surgery | 2020年 / 68卷

关键词：

Esophageal cancer; Esophagectomy; Postoperative chylothorax; Video-assisted thoracoscopic surgery; Duplicated left-sided thoracic duct;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Postoperative chylothorax is a potentially lethal complication after esophagectomy. A 53-year-old woman underwent subtotal esophagectomy. The thoracic duct was resected due to swollen lymph nodes. Postoperative chylothorax was diagnosed but conservative treatment was ineffective. Lipiodol lymphangiography revealed leakage from a duplicated left-sided thoracic duct. Left-sided video-assisted thoracoscopic ligation of the left-sided thoracic duct was performed. Because anatomical variations in the thoracic duct contribute to refractory chylothorax, lymphangiography is useful in detecting the position of thoracic duct injury as well as any duct anomalies. Based on lymphangiography, left-sided video-assisted thoracoscopic surgery could be considered in case of left-sided thoracic duct injury.

引用

页码：1350 / 1353

页数：3

共 50 条

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Kamiya, Kinji
Aramaki, Takeshi
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