Ishibashi Hironori, Ishikawa Yuya, Asakawa Ayaka, Imai Sachiko, Kobayashi Masashi, Okubo Kenichi
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Gen Thorac Cardiovasc Surg. 2018 Jun;66(6):372-375. doi: 10.1007/s11748-017-0865-y. Epub 2017 Nov 16.
Chylothorax after anterior mediastinal surgery is rare. We treated a 39-year-old woman who presented with progressive dyspnea over 6 months. Chest computed tomography revealed a 12-cm round mass in the right anterior mediastinum. She underwent video-assisted thoracoscopic surgery for successful excision of the tumor; however, the surgery was complicated by the development of chylothorax. It was treated surgically with no recurrence of the tumor and/or chylothorax for 2 years. Chylothorax should be recognized as a postsurgical complication of anterior mediastinal tumors.
前纵隔手术后发生乳糜胸较为罕见。我们治疗了一名39岁女性,她在6个月内出现进行性呼吸困难。胸部计算机断层扫描显示右前纵隔有一个12厘米的圆形肿块。她接受了电视辅助胸腔镜手术,成功切除了肿瘤;然而,手术并发了乳糜胸。通过手术治疗,肿瘤和/或乳糜胸在2年内未复发。乳糜胸应被视为前纵隔肿瘤手术后的一种并发症。