Usefulness of video thoracoscopy in the management of spontaneous and postoperation chylothorax

被引：24

作者：

Peillon, C ^{[1
]}

D'Hont, C ^{[1
]}

Melki, J ^{[1
]}

Fattouh, F ^{[1
]}

Perrier, G ^{[1
]}

Dujon, A ^{[1
]}

Testart, J ^{[1
]}

机构：

[1] Rouen Univ Hosp, Dept Gen & Vasc Surg, F-76031 Rouen, France

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1999年 / 13卷 / 11期

关键词：

chylothorax; surgical management; video-assisted thoracic surgery;

D O I：

10.1007/s004649901183

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The aim of this study was to evaluate indications and results of video thoracoscopy (VATS) in the management of nine chylothorax cases. Methods: Four spontaneous chylothorax cases were treated by VATS and talc pleurodesis with immediate positive results. Among five postoperation chylothorax cases, two were treated early by VATS and selective lymphatic clipping (VATS group), and three had medical treatment (MT group. Results: Duration of drainage was 4 days for the VATS group versus 15.3 days for MT group. Amount of collected chyle was 2.4 l versus 5.7 l, respectively. Conclusions: We suggest that VATS should be considered the treatment of choice for spontaneous chylothorax and could be indicated earlier in postoperation chylothorax.

引用

页码：1106 / 1109

页数：4

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