右上葉肺癌術後乳び胸に対しリンパ管造影が有効と思われた1例

Postoperative Chylothorax Likely to be Successfully Treated by Lymphangiography；Report of a Case

はじめに　乳び胸は胸管あるいはその分枝を損傷することで発症するため，肺癌手術時のリンパ節郭清の後には一定の頻度で起こりうる．われわれは，肺癌術後乳び胸に対しリンパ管造影が効果的であったと思われる1例を経験したので，文献的考察を加え報告する．

A 74-year-old man underwent right upper lobectomy and systemic lymph node dissection with video-assisted thoracoscopic surgery. Chylothorax occurred on postoperative day （POD） 1st. Under fasting management, the patient underwent pleurodesis on POD 5th and 7th, subcutaneous octreotide acetate injection on POD 6th, and lymphangiography on POD 9th. The amount of drainage decreased on POD 10th, and the drainage tube was removed on POD 12nd. Lymphangiography has been reported as one of effective procedures to treat postoperative chylothorax. The present case is also considered to be successfully treated by lymphangiography.