Tokunaga Yoshimasa, Kita Yusuke, Okamoto Taku
Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Japan.
Kyobu Geka. 2020 Jun;73(6):462-465.
A 74-year-old man underwent right upper lobectomy and systemic lymph node dissection with video-assisted thoracoscopic surgery. Chylothorax occurred on postoperative day (POD) 1st. Under fasting management, the patient underwent pleurodesis on POD 5th and 7th, subcutaneous octreotide acetate injection on POD 6th, and lymphangiography on POD 9th. The amount of drainage decreased on POD 10th, and the drainage tube was removed on POD 12nd. Lymphangiography has been reported as one of effective procedures to treat postoperative chylothorax. The present case is also considered to be successfully treated by lymphangiography.
一名74岁男性接受了电视辅助胸腔镜手术下的右上叶切除术和系统性淋巴结清扫术。术后第1天发生了乳糜胸。在禁食管理下,患者于术后第5天和第7天接受了胸膜固定术,术后第6天进行了皮下注射醋酸奥曲肽,术后第9天进行了淋巴管造影。术后第10天引流量减少,术后第12天拔除引流管。淋巴管造影已被报道为治疗术后乳糜胸的有效方法之一。本病例也被认为通过淋巴管造影得到了成功治疗。