Thoracoscopic management of post-operative chylothorax: Clipping of the thoracic duct and pleuroperitoneal shunt

Authors

  • Youry Riveros Departamento de Cirugía, Hospital Departamental de Huancavelica. Minsa. Huancavelica, Perú
  • Petro Shevchuk Departamento de Cirugía, Hospital Departamental de Huancavelica. Minsa. Huancavelica, Perú
  • Felicia Lazo Departamento de Pediatría, Hospital Sergio E. Bernales. Minsa. Lima, Perú

DOI:

https://doi.org/10.15381/anales.v66i3.1349

Keywords:

Chylothorax, thoracic duct, thoracoscopy, thoracic surgery, lymphatic diseases

Abstract

Chylothorax by thoracic duct injury is a catastrophic and rare complication that takes place following cardiac operations, chest surgery and extensive neck dissection. The chyle daily loss may lead to nutritional, metabolic and immunologic deficiencies, and even death if not treated. Currently, early surgical treatment is recommended with support of video-assisted thoracic surgery (VATS) applying clips, endostapler or ultrasonic coagulator over the thoracic duct. Conservative management has a great percentage of failures mainly due to high output chylous fistulae. We report the successful treatment of a patient with chylothorax following chest surgery for a lung giant hydatidic cyst, by clipping of the thoracic duct and pleuroperitoneal shunt.

Downloads

Published

2005-09-19

Issue

Vol. 66 No. 3 (2005)

Section

Casos clínicos

License

Copyright (c) 2005 Youry Riveros, Petro Shevchuk, Felicia Lazo

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Those authors who have publications with this magazine accept the following terms:

  1. Authors will retain their copyrights and guarantee the journal the right of first publication of their work, which will be simultaneously subject to Creative Commons Attribution License that allows third parties to share the work as long as its author and its first publication this magazine are indicated.
  2. Authors may adopt other non-exclusive licensing agreements for the distribution of the version of the published work (eg, deposit it in an institutional electronic file or publish it in a monographic volume) provided that the initial publication in this magazine is indicated.
  3. Authors are allowed and recommended to disseminate their work over the Internet (eg: in institutional telematic archives or on their website) before and during the submission process, which It can produce interesting exchanges and increase quotes from the published work. (See El efecto del acceso abierto ).

How to Cite

1.
Riveros Y, Shevchuk P, Lazo F. Thoracoscopic management of post-operative chylothorax: Clipping of the thoracic duct and pleuroperitoneal shunt. An Fac med [Internet]. 2005 Sep. 19 [cited 2024 Jul. 27];66(3):241-6. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1349