Hospital Italiano de Buenos Aires.
Rev Fac Cien Med Univ Nac Cordoba. 2020 Dec 21;77(4):381-384. doi: 10.31053/1853.0605.v77.n4.27982.
Chylous leakage into the retroperitoneum is a rare complication after spinal surgery using an anterior retroperitoneal approach. Chylothorax is the presence of lymphatic fluid in the pleural cavity and it is even less frequent during these surgeries. The aim of this work is to report the first case of isolated left chylothorax after a retroperitoneal Left Oblique Lumbar Interbody Fusion in supine position in an adult female patient.
A female 30-years-old patient underwent L4-L5 anterior interbody fusion. Four days after the intervention she was diagnosed with isolated left chylothorax that was drained and treated conservatively with good outcomes.
Chylothorax is an extremely rare complication after anterior lumbar spine procedures, and it is usually secondary to a chyloretroperitoneum. We present a unique case of isolated chylothorax after anterior retroperitoneal lumbar approach successfully treated in a conservative manner. Key Words chylothorax; spine; lumbosacral region; arthrodesis.
经腹膜后前路手术后乳糜漏入腹膜后腔是一种罕见的并发症。乳糜胸是指胸腔内存在淋巴液，在这些手术中更为少见。本研究旨在报告首例成人女性患者在仰卧位行腹膜后左侧斜向腰椎椎间融合术后出现孤立性左侧乳糜胸。
一名 30 岁女性患者行 L4-L5 前路椎体间融合术。术后 4 天，患者被诊断为孤立性左侧乳糜胸，经引流和保守治疗后取得良好效果。
乳糜胸是腰椎前路手术的一种罕见并发症，通常继发于乳糜性腹膜后腔。我们报告了一例独特的经腹膜后前路腰椎手术后孤立性乳糜胸的病例，采用保守治疗获得成功。关键词：乳糜胸；脊柱；腰骶区；融合术。
