Supradiaphragmatic thoracic duct clipping for chylothorax through left-sided video-assisted thoracoscopic surgery | Zendy

Atsushi Watanabe | Zendy; Tetsuya Koyanagi | Zendy; Shinji Nakashima | Zendy; Tetsuya Higami | Zendy

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Supradiaphragmatic thoracic duct clipping for chylothorax through left-sided video-assisted thoracoscopic surgery

Author(s) -

Atsushi Watanabe,

Tetsuya Koyanagi,

Shinji Nakashima,

Tetsuya Higami

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2006.11.039

Subject(s) - chylothorax , medicine , thoracic duct , ligation , thoracotomy , surgery , thoracoscopy , clipping (morphology) , cardiothoracic surgery , video assisted thoracoscopic surgery , lymphatic system , linguistics , philosophy , immunology

Chylothorax is a life-threatening clinical entity. Traditional surgical management for cases refractory to conservative treatment is thoracic duct ligation through a right open thoracotomy or closure of the site of duct laceration through an open thoracotomy. We report herein two patients with left chylothorax successfully treated by supradiaphragmatic thoracic duct (STD) ligation through left-sided video-assisted thoracoscopic surgery (VATS). This approach offers optimal exposure for the thoracic duct ligation and is useful for treatment of left chylothorax after left-sided thoracic surgery and idiopathic left chylothorax.

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