雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A case of thoracic duct ligation using video-assisted thoracic surgery for postoperative chylothorax uncured by conservative treatment Tsuyoshi UCHIDA 1 , Fumi YOKOTE 1 , Satoshi NAGASAKA 1 , Satsuki KINA 1 1Department of General Thoracic Surgery, National Center for Global Health and Medicine Keyword: 術後乳び胸 , 胸腔鏡下手術 , 胸管結紮 pp.425-429
Published Date 2015/7/15
DOI https://doi.org/10.11477/mf.4426200155
  • Abstract
  • Look Inside
  • Reference

A woman in her 40s was admitted to our hospital for the diagnosis and resection of a lung tumor. She underwent a right lower lobectomy and mediastinal lymphadenectomy with video-assisted thoracic surgery(VATS). The tumor was an adenocarcinoma(sT1a N2 M0, Stage IIIA). A milky white effusion appeared on the second postoperative day for which we started conservative treatment, but it did not decrease enough to enable chest tube removal. Therefore, we decided to ligate the thoracic duct using VATS on the ninth postoperative day. The patient's second postoperative course was excellent. The chest tube was removed on the second day after the reoperation and the patient was discharged on the fifteenth day after the first operation. Postoperative chylothorax is rare disease for which the optimal treatment has not yet been established. Conservative treatment was ineffective in this case, so the patient underwent surgical treatment. We safely ligated the thoracic duct using four-port VATS. Extension of the postoperative chylothorax will worsen a patient's long-term prognosis. This report shows that if conservative treatment is ineffective, an early reoperation should be performed.


Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有