Hendriks J, Van Schil P, Pauli S, Van den Brande F, Eyskens E
Department of Surgery, University Hospital Antwerp, Belgium.
Acta Chir Belg. 1998 Aug;98(4):161-3.
Postoperative chylothorax is an infrequent but potential life-threatening complication and has most often been described following oesophageal resection. Its incidence after pulmonary resection is low, but has increased to 0.3-0.5%, probably due to more extensive types of resections and radical lymph node dissections. We report a case of chylothorax after a left sleeve lobectomy for a primary bronchogenic carcinoma, that was treated conservatively with chest tube drainage and a diet of medium chain triglycerides. Five additional case reports in English and French literature confirmed chylothorax after bronchoplastic procedures to be extremely rare. More frequent use of bronchial sleeve resection as alternative to pneumonectomy to save functional lung tissue, can increase the incidence of chylothorax after bronchoplastic procedures.
术后乳糜胸是一种罕见但可能危及生命的并发症，最常见于食管切除术后。其在肺切除术后的发生率较低，但已增至0.3%-0.5%，这可能是由于切除范围扩大和根治性淋巴结清扫所致。我们报告1例原发性支气管肺癌患者在接受左肺袖状叶切除术后发生乳糜胸，通过胸腔闭式引流和中链甘油三酯饮食进行保守治疗。英文和法文文献中的另外5例病例报告证实，支气管成形术后发生乳糜胸极为罕见。作为肺切除术的替代方法，更频繁地使用支气管袖状切除术以保留功能性肺组织，可能会增加支气管成形术后乳糜胸的发生率。
