Current management of postoperative chylothorax
| Autor: | Henry A. van Swieten, Wim J. van Boven, Filip Casselman, Paul J. Knaepen, Massimo A. Mariani, Hossein Fahimi |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Chylothorax Thoracic duct Thoracic Duct Pleural disease Postoperative Complications Thoracoscopy Humans Medicine Thoracotomy Aged Aged 80 and over medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry nutritional and metabolic diseases Middle Aged medicine.disease Endoscopy Surgery medicine.anatomical_structure Cardiothoracic surgery Female Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | The Annals of Thoracic Surgery. 71:448-450 |
| ISSN: | 0003-4975 |
| Popis: | Background. This study was performed to review our experience with postoperative chylothorax and describe our current approach. In addition, we wanted to estimate the impact of video-assisted thoracoscopic surgery (VATS) on our current management policy. Methods. From January 1991 to December 1999, 12 patients developed chylothorax after various thoracic procedures. Their mean age was 61.5 (range 31 to 80 years). The procedures were cardiac, aortic, and pulmonary operations. Results. All patients were initially treated conservatively. In addition, 7 patients needed surgical intervention, including one thoracotomy and six VATS. The site of thoracic duct laceration was identified and treated with VATS in 4 patients. In 2 patients, the leak could not be localized by VATS, and fibrin glue or talcage were applied in the pleural space. All patients were discharged without recurrent chylothorax. Conclusions. VATS is an effective tool in the management of persisting postoperative chylothorax. Its easy use, low cost, and low morbidity rate suggest an earlier use of VATS in the treatment of postoperative chylothorax. |
| Databáze: | OpenAIRE |
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