Management options for post-esophagectomy chylothorax
| Autor: | Sunita Suman, Pawan Kumar Garg, Vaibhav Kumar Varshney, Pushpinder Singh Khera, Subhash Soni |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Chylothorax Thoracic duct Thoracic Duct 03 medical and health sciences Postoperative Complications 0302 clinical medicine Surgical oncology Intervention (counseling) medicine Humans Embolization Intensive care medicine medicine.diagnostic_test business.industry Interventional radiology General Medicine medicine.disease Esophagectomy medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Complication business |
| Zdroj: | Surgery Today. 51:678-685 |
| ISSN: | 1436-2813 0941-1291 |
| Popis: | Chylothorax, although an uncommon complication of esophagectomy, is associated with high morbidity and mortality if not treated promptly. Consequently, knowledge of the thoracic duct (TD) anatomy is essential to prevent its inadvertent injury during surgery. If the TD is injured, early diagnosis and immediate intervention are of paramount importance; however, there is still no universal consensus about the management of post-operative chylothorax. With increasing advances in the spheres of interventional radiology and minimally invasive surgery, there are now several options for managing TD injury. We review this topic in detail to provide a comprehensive and practical overview to help surgeons manage this challenging complication. In particular, we discuss an appropriate step-up approach to prevent the morbidity associated with open surgery as well as the metabolic, nutritional, and immunological disorders that accompany a prolonged illness. |
| Databáze: | OpenAIRE |
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