肺癌手术后纵隔乳糜瘤：病例报告
Mediastinal chyloma after lung cancer surgery: case report.
作者信息
Furukawa Masashi, Tao Hiroyuki, Tanaka Toshiki, Okabe Kazunori
机构信息
Division of Thoracic Surgery, National Hospital Organization Yamaguchi-Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi, 755-0241, Japan.
出版信息
J Cardiothorac Surg. 2016 Aug 2;11(1):115. doi: 10.1186/s13019-016-0522-z.
BACKGROUND
Chylothorax is a relatively rare but well-known complication of thoracic surgery.
CASE PRESENTATION
A 70-year-old man underwent right upper and middle bilobectomy and systematic lymph node dissection through a posterolateral thoracotomy for lung cancer. On the second postoperative day, he developed chylothorax that was treated with dietary management and pleurodesis. The discharge diminished and his chest tube was removed on the ninth postoperative day. On the 14(th) postoperative day, the patient complained of dyspnea and dysphagia, and imaging studies revealed mediastinal chyloma. Thoracoscopic surgical drainage was performed and the site of chyle leakage was sutured.
CONCLUSIONS
This report presents an unexpected complication of chemical pleurodesis and reviews the indications for surgical intervention in cases of postoperative chylothorax.
背景
乳糜胸是胸外科手术一种相对罕见但广为人知的并发症。
病例介绍
一名70岁男性因肺癌经后外侧开胸行右上叶和中叶双叶切除术及系统性淋巴结清扫术。术后第二天，他出现乳糜胸，通过饮食管理和胸膜固定术进行治疗。引流量减少，术后第九天拔除胸腔引流管。术后第14天，患者主诉呼吸困难和吞咽困难，影像学检查显示纵隔乳糜瘤。进行了胸腔镜手术引流，并缝合了乳糜漏出部位。
结论
本报告介绍了化学性胸膜固定术意外出现的并发症，并回顾了术后乳糜胸手术干预的指征。
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