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前纵隔肿瘤胸腔镜手术后的乳糜胸

Chylothorax post thoracoscopic surgery for an anterior mediastinal tumor.

作者信息

Ishibashi Hironori, Ishikawa Yuya, Asakawa Ayaka, Imai Sachiko, Kobayashi Masashi, Okubo Kenichi

机构信息

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.

出版信息

Gen Thorac Cardiovasc Surg. 2018 Jun;66(6):372-375. doi: 10.1007/s11748-017-0865-y. Epub 2017 Nov 16.

Abstract

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.

摘要

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。

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