Department of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Anaesthesia, HFR Fribourg, Cantonal Hospital, Fribourg, Switzerland.
Interact Cardiovasc Thorac Surg. 2020 Oct 1;31(4):583-584. doi: 10.1093/icvts/ivaa128.
Herein, we report the case of a patient with persistent postoperative chylothorax despite right supradiaphragmal ligation of the thoracic duct. Computed tomography lymphangiography after lipiodol injection demonstrated a correctly ligated right thoracic duct but an anatomical variation with patent left-sided thoracic duct, which was successfully ligated afterwards by video-assisted thoracic surgery.
在此,我们报告了一例患者在右膈上胸导管结扎术后仍持续发生乳糜胸。注射碘化油后行计算机断层扫描淋巴管造影显示右侧胸导管正确结扎,但存在左侧胸导管解剖变异,随后通过电视辅助胸腔镜手术成功结扎。