The Japanese Journal of Thoracic Surgery Volume 71, Issue 13 (December 2018)

Assessment of Fat-free Diet for Postoperative Chylothorax Masashi Furukawa 1 , Akio Hara 1 , Ryohei Miyazaki 1 , Shintaro Yokoyama 1 , Masataro Hayashi 1 , Hiroyuki Tao 1 , Kazunori Okabe 1 1Division of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center Keyword: chylothorax , lung cancer , dietary management pp.1063-1065
Published Date 2018/12/1
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Background:Chylothorax after lung cancer surgery is relatively rare but must be considered as a complication of thoracic surgery.

Method:Between January 2012 and June 2017, 818 patients underwent lung cancer surgery at our hospital. Among them, 14 (1.7%) patients with chylothorax were retrospectively reviewed. Three patients were treated with oral intake cessation except water and total parental nutrition (TPN)[TPN group], 11 patients were treated with a fat-free diet (fat-free diet group).

Results:The drainage period was similar in both group [group TPN;13 (12~14) days and group fat-free diet;15.7 (6~42) days]. In the TPN group, 3 patients underwent pleurodesis and no patient needed surgical intervention. In the fat-free diet group, 5 patients improved only with diet management. Pleurodesis was necessary in 5 of which 3 underwent surgical intervention.

Conclusions:A fat-free diet is useful in treating chylothorax after lung cancer surgery.

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71巻13号 (2018年12月)
電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂