Deo Kunal Bikram, Deo Sumit Kumar, Gautam Sujan, Pandit Narendra, Adhikary Shailesh
Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal.
Department of Surgery Birat Medical College and Teaching Hospital Biratnagar Nepal.
Clin Case Rep. 2024 Mar 7;12(3):e8618. doi: 10.1002/ccr3.8618. eCollection 2024 Mar.
Chylothorax is a rare entity associated with morbidity. Surgical thoracic duct ligation (TDL) by thoracoscopic approach is the recommended choice for persistent chylothorax. However, thoracoscopy is not feasible in case of previous pleurodesis. We describe a successful laparoscopic transhiatal en-mass TDL in a 61-year-old lady for persistent spontaneous chylothorax after failed optimal conservative management and three sessions of pleurodesis. The study shows that laparoscopic transhiatal thoracic duct ligation is an effective alternative in a case where thoracoscopy is not feasible due to various reasons.
乳糜胸是一种罕见的伴有发病情况的病症。经胸腔镜手术进行胸导管结扎术（TDL）是持续性乳糜胸的推荐治疗方法。然而，若之前已行胸膜固定术，则胸腔镜手术不可行。我们描述了一例成功的腹腔镜经裂孔整块胸导管结扎术，该手术应用于一名61岁女性患者，她在经过最佳保守治疗失败以及三次胸膜固定术后仍患有持续性自发性乳糜胸。该研究表明，在因各种原因胸腔镜手术不可行的情况下，腹腔镜经裂孔胸导管结扎术是一种有效的替代方法。
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