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Late-onset Chylothorax after Right Upper Lobectomy;Report of a Case Takao Sakaizawa 1 , Masayuki Toishi 1 , Keisuke Ozawa 1 , Hideki Nishimura 1 1Department of Chest Surgery, Nagano Municipal Hospital Keyword: late-onset chylothorax , after resection of lung cancer , right upper lobectomy pp.1052-1055
Published Date 2018/11/1
DOI https://doi.org/10.15106/j_kyobu71_1052
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Chylothorax after pulmonary resection is diagnosed usually within a few days after surgery, hence late-onset chylothorax is relatively rare complication. A 79-year-old woman underwent right upper lobectomy and mediastinal dissection for lung cancer. A chest tube was removed on postoperative day (POD)3, and she was discharged on POD 8. Fifty days after an operation, the patient developed a dyspnea on effort, and chest radiography revealed a right-sided pleural effusion, which we diagnosed as chylothorax. Because the treatments of a fat-free diet and subcutaneous octreotide acetate administration were ineffective, thoracic duct ligation was finally performed. The post-reoperative course was uneventful.


© Nankodo Co., Ltd., 2018

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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