Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct : a case report
Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021..
Postoperative chylothorax occurs relatively rarely after pulmonary resections, often caused intraoperatively by injury to the thoracic duct. We describe a case of postoperative chylothorax after lung cancer surgery with an aberrant thoracic duct course. A 66-year-old man showed abnormal findings on chest computed tomography (CT) during health screening and was suspected with primary lung cancer. Then, he underwent a right upper lobectomy with mediastinal lymph-node dissection. The histopathological findings confirmed lung adenocarcinoma. However, the patient developed a postoperative chylothorax and underwent revision surgery. An abnormally running thoracic duct, which was expected to flow into the right venous angle, was found at the cranial side of the right superior mediastinal dissection area and was clipped. Considering the many variations in the route of the thoracic duct, thoracic surgeons should remain alert for postoperative chylothorax when performing lung cancer surgery with mediastinal lymph-node dissection and prepare treatment strategies accordingly.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:2021 |
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| Enthalten in: |
Journal of surgical case reports - 2021(2021), 10 vom: 06. Okt., Seite rjab490 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nakamura, Daisuke [VerfasserIn] |
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| Anmerkungen: |
Date Revised 05.11.2021 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1093/jscr/rjab490 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM332715884 |
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| 245 | 1 | 0 | |a Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct |b a case report |
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| 520 | |a Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. | ||
| 520 | |a Postoperative chylothorax occurs relatively rarely after pulmonary resections, often caused intraoperatively by injury to the thoracic duct. We describe a case of postoperative chylothorax after lung cancer surgery with an aberrant thoracic duct course. A 66-year-old man showed abnormal findings on chest computed tomography (CT) during health screening and was suspected with primary lung cancer. Then, he underwent a right upper lobectomy with mediastinal lymph-node dissection. The histopathological findings confirmed lung adenocarcinoma. However, the patient developed a postoperative chylothorax and underwent revision surgery. An abnormally running thoracic duct, which was expected to flow into the right venous angle, was found at the cranial side of the right superior mediastinal dissection area and was clipped. Considering the many variations in the route of the thoracic duct, thoracic surgeons should remain alert for postoperative chylothorax when performing lung cancer surgery with mediastinal lymph-node dissection and prepare treatment strategies accordingly | ||
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| 700 | 1 | |a Nishimura, Hideki |e verfasserin |4 aut | |
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