Icaza Orlando J, Andrews Kris, Kuhnke Mark
Southern Illinois University School of Medicine, Division of General Surgery, Springfield, USA.
J Laparoendosc Adv Surg Tech A. 2002 Apr;12(2):129-33. doi: 10.1089/10926420252939673.
Laparoscopic ligation of the cisterna chyli at the level of the aortic hiatus was performed in a 69-year-old woman with post-lobectomy chylothorax refractory to 3 weeks of conservative therapy and one repeat thoracotomy with attempted ligation of a leaking lymphatic channel. This laparoscopic procedure was successful, and resolution of the chylothorax was achieved. We feel that this technique offers surgeons a valid, minimally invasive treatment option for a persistent chylothorax in which conservative management or more direct thoracic procedures have failed to control the chyle leak.
对一名69岁女性进行了腹腔镜下在主动脉裂孔水平结扎乳糜池的手术，该患者在肺叶切除术后发生乳糜胸，经过3周保守治疗及一次重复开胸手术试图结扎渗漏的淋巴管均无效。该腹腔镜手术取得成功，乳糜胸得到缓解。我们认为，对于保守治疗或更直接的胸部手术未能控制乳糜漏的持续性乳糜胸，这项技术为外科医生提供了一种有效的微创治疗选择。
