Bilateral thoracic duct ligation for persisting postoperative chylothorax

Abstract Herein, we report the case of a patient with persistent postoperative chylothorax despite right supradiaphragmal ligation of the thoracic duct. Computed tomography lymphangiography after lipiodol injection demonstrated a correctly ligated right thoracic duct but an anatomical variation with...

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Veröffentlicht in:	Interactive cardiovascular and thoracic surgery 2020-10, Vol.31 (4), p.583-584
Hauptverfasser:	Rouiller, Benoît, Lutz, Jon A, Kocher, Gregor J, Magnusson, Lennart
Format:	Artikel
Sprache:	eng
Schlagworte:	Chylothorax - diagnosis Chylothorax - etiology Chylothorax - surgery Humans Ligation - methods Lymphography Male Middle Aged Pneumonectomy - adverse effects Postoperative Cognitive Complications - diagnosis Postoperative Cognitive Complications - etiology Postoperative Cognitive Complications - surgery Thoracic Duct - surgery Thoracic Surgery, Video-Assisted - methods Tomography, X-Ray Computed
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Zusammenfassung:	Abstract Herein, we report the case of a patient with persistent postoperative chylothorax despite right supradiaphragmal ligation of the thoracic duct. Computed tomography lymphangiography after lipiodol injection demonstrated a correctly ligated right thoracic duct but an anatomical variation with patent left-sided thoracic duct, which was successfully ligated afterwards by video-assisted thoracic surgery. Chylothorax (Cx) is a complication occurring in 1.4% [1] to 1.9% [2] of anatomical lung resections.
ISSN:	1569-9285 1569-9285
DOI:	10.1093/icvts/ivaa128