Early endoscopic treatment of chylothorax develops after surgical treatment of lung cancer patients

被引:2
作者
Masato Kanzaki
Susumu Sasano
Masahide Murasugi
Kunihiro Oyama
Hiromi Kuwata
Takamasa Onuki
机构
[1] Tokyo Women's Medical University,Department of Surgery I
关键词
endoscopic treatment; chylothorax; lung cancer; video-assisted thoracoscopic surgery;
D O I
10.1007/s11748-003-0111-7
中图分类号
学科分类号
摘要
Objective: Chylothorax which occasionally develops after surgical treatment of lung cancer is generally treated conservatively, and surgical treatment is limited to patients who do not respond well to conservative treatment. Subjects and Methods: Of the 941 lung cancer operation, 6 patients in whom Chylothorax developed after surgical treatment of lung cancer were evaluated for its characteristics and outcome. Results: Two patients underwent thoracoscopic treatment. The duration of drainage was shorter for the 2 patients undergoing chylothorax operation than for the 4 patients who underwent conservative treatment. The mean duration of hospitalization after surgical treatment of lung cancer was 24 days for the patients who underwent conservative treatment alone and 12.5 days for the patients who underwent chylothorax operation. conclusion: Patients in whom chylothorax develops after surgical treatment of lung cancer should promptly undergo operation when the volume of chylous fluid is not decreased by conservative treatment.
引用
收藏
页码:506 / 510
页数:4
相关论文
共 50 条
  • [1] Cevese PG(1975)Postoperative chylothorax. Six Cases in 2500 operations, with a survey of the world literature J Thorac Cardiovasc Surg 69 966-71
  • [2] Vecchioni R(1973)Chylothorax: Indication for surgery Ann Surg 177 245-9
  • [3] D'Amico DF(1983)Chylothorax following cardiac surgery in children J Cardiovasc Surg 24 227-30
  • [4] Cordiano C(1994)Chylothorax after pleuro-pulmonary surgery: A rare but unavoidable complication Thorc Cardiovasc Surg 42 81-4
  • [5] Biasiato R(1964)Treatment of chyluria and chylothorax with mediumchain triglyceride New Engl J Med 270 756-61
  • [6] Farello GA(1981)Supradiaphragmatic ligation of the thoracic duct in intractable chylus fistula Ann Thorac Surg 32 44-9
  • [7] Selle JG(1992)Video-assisted thoracic surgery: Basic technical concepts and intercostals approach strategies Ann Thorac Surg 54 800-7
  • [8] Snyder WH(1992)Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest Ann Thorac Surg 54 403-7
  • [9] Schreiber JT(1993)Thoracoscopic ligation of the thoracic duct Surg Endosc 7 52-3
  • [10] Verunelli F(1999)Usefulness of video thoracoscopy in the management of spontaneous and postoperation chylothorax Surg Endosc 13 1106-9