Thoracoscopic approach in the treatment of thoracic duct injuries – case reports and review of the literature
Authors:
Lubomír Tulinský; Marcel Mitták; Peter Ihnát
Authors‘ workplace:
Chirurgická klinika LF OU a FN Ostrava
Published in:
Čas. Lék. čes. 2022; 161: 144-146
Category:
Case Report
Overview
Thoracic duct injuries are very rare due to its protected location. Duct is most often injured in polytraumas and during operations in his vicinity. Treatment is primarily conservative, based on a low-fat diet or parenteral nutrition and adequate chest drainage. If the conservative management fails, a surgical duct ligation via thoracotomy, or more conveniently thoracoscopic approach, is necessary. The presented case reports describe the surgical treatment of isolated injury of the thoracic duct via thoracoscopic approach.
Keywords:
chylothorax – thoracic duct – thoracoscopy
Sources
- Worthington MG, de Groot M, Gunning AJ, von Oppell UO. Isolated thoracic duct injury after penetrating chest trauma. Ann Thor Surg 1995; 60: 272–274.
- Rao DVLN, Chava SP, Sahni P, Chattopadhyay TK. Thoracic duct injury during esophagectomy: 20 years experience at a tertiary care center in a developing country. Dis Esophagus 2004; 17: 141–145.
- Hart AKE, Greinwald JH, Shaffrey CI, Postma GN. Thoracic duct injury during anterior cervical discectomy: a rare complication. J Neurosurg 1998; 88: 151–154.
- Khalil KG, Parker FB jr., Mukherjee N, Webb WR. Thoracic duct injury. A complication of jugular vein catheterization. JAMA 1972; 221: 908–909.
- Stecker MS, Fan C-M. Lymphangiography for thoracic duct interventions. Tech Vasc Interv Radiol 2016; 19: 277–285.
- Krishnamurthy R, Hernandez A, Kavuk S et al. Imaging the central conducting lymphatics: initial experience with dynamic MR lymphangiography. Radiology 2015; 274: 871–878.
- Machado JDC, Suen VMM, Marchini JS. Is oral nutritional therapy effective for the treatment of chylothorax? A case report. Nutrition 2008; 24: 607–609.
- Lapp GC, Brown DH, Gullane PJ, McKneally M. Thoracoscopic management of chylous fistulae. Am J Otolaryngol 1998; 19: 257–262.
- Schild HH, Strassburg CP, Welz A, Kalff J. Treatment options in patients with chylothorax. Dtsch Arzteb 2013; 110: 819–826.
- Yin R, Zhang R, Wang J et al. Effects of somatostatin/octreotide treatment in neonates with congenital chylothorax. Medicine (Baltimore) 2017; 96: 7594.
- Aljazairi AS, Bhuiyan TA, Alwadai AH, Almehizia RA. Octreotide use in post-cardiac surgery chylothorax: a 12-year perspective. Asian Cardiovasc Thorac Ann 2016; 25: 6–12.
- Jeong H, Ahn HY, Kwon H et al. Lymphangiographic interventions to manage postoperative chylothorax. Korean J Thorac Cardiovasc Surg 2019; 52: 409–415.
- Alamdari DH, Asadi M, Rahim AN et al. Efficacy and safety of pleurodesis using platelet-rich plasma and fibrin glue in management of postoperative chylothorax after esophagectomy. World J Surg 2017; 42: 1046–1055.
- Lampson RS. Traumatic chylothorax; a review of the literature and report of a case treated by mediastinal ligation of the thoracic duct. J Thorac Surg 1948; 17: 778–791.
- Paul S, Altorki N, Port J et al. Surgical management of chylothorax. Thorac Cardiovasc Surg 2009; 57: 226–228.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
2022 Issue 3-4
Most read in this issue
- Bartter and Gitelman syndromes
- Současná bariatrická/metabolická chirurgie
- Faecal microbiota transplantation in the treatment of recurrent intestinal Clostridioides difficile infection – a ten-year single-center experience
- Use of unmanned aerial systems in the health care