Mason P F, Ragoowansi R H, Thorpe J A
Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, UK.
Eur J Cardiothorac Surg. 1997 Mar;11(3):567-70. doi: 10.1016/s1010-7940(96)01120-7.
Operative control via a thoracic approach of chylothorax can be difficult to achieve, particularly if the chyle leak is secondary to previous thoracic surgery. This report describes the ligation of the thoracic duct at the level of the diaphragmatic hiatus, via an abdominal approach. This technique was the definitive management in four of the last 5 patients presenting with chylothorax in our unit. Typically the leak ceased within 24 h with early discharge of the patient from hospital.
通过开胸手术控制乳糜胸可能很难实现，尤其是当乳糜漏继发于先前的胸外科手术时。本报告描述了经腹部入路在膈肌裂孔水平结扎胸导管的方法。在我们科室最近收治的5例乳糜胸患者中，该技术是其中4例患者的决定性治疗方法。通常，漏液在24小时内停止，患者可早期出院。
