CHYLOTHORAX FOLLOWING RESECTION OF THE ESOPHAGUS

被引：38

作者：

LAM, KH ^{[1
]}

LIM, STK ^{[1
]}

WONG, J ^{[1
]}

ONG, GB ^{[1
]}

机构：

[1] UNIV HONG KONG,QUEEN MARY HOSP,DEPT SURG,HONG KONG,HONG KONG

来源：

BRITISH JOURNAL OF SURGERY | 1979年 / 66卷 / 02期

关键词：

D O I：

10.1002/bjs.1800660208

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Chylothorax complicating operations on the oesophagus has been reported infrequently; it carries a mortality rate of about 50 per cent. A search of the literature has yielded only 10 cases. This paper reports 4 further cases which occurred among 685 resections of the oesophagus, giving an incidence of 0.6 per cent. The diagnosis should be confirmed with lymphangiography. Treatment should be early exploration and ligation in patients in whom the thoracic duct has been divided at operation. If the duct has been injured during blind dissection a period of conservative treatment is advisable. Parenteral nutrition is a useful adjunctive treatment. Copyright © 1979 British Journal of Surgery Society Ltd.

引用

页码：105 / 109

页数：5

共 39 条

[1] TRAUMATIC CHYLOTHORAX - A REVIEW OF THE LITERATURE AND REPORT OF A CASE TREATED BY LIGATION OF THE THORACIC DUCT AND CISTERNA CHYLI [J].

BALDRIDGE, RR ;

LEWIS, RV .

ANNALS OF SURGERY, 1948, 128 (06) :1056-1078

[2]

BARTOLET XX, 1633, CITED INDIRECTLY

[3] TRAUMATIC CHYLOTHORAX - A REPORT OF A CASE AND A SURVEY OF THE LITERATURE [J].

BIRT, AB ;

CONNOLLY, NK .

BRITISH JOURNAL OF SURGERY, 1952, 39 (158) :564-568

[4] CHYLOTHORAX - OBSERVATIONS IN 20 CASES [J].

BOWER, GC .

DISEASES OF THE CHEST, 1964, 46 (04) :464-468

[5]

BRESSLER S, 1953, J THORAC SURG, V26, P321

[6] SURGICAL MANAGEMENT OF LESIONS OF THE THORACIC DUCT - THE TECHNIC AND INDICATIONS FOR RETROPERITONEAL ANASTOMOSIS OF THE THORACIC DUCT TO THE HEMIAZYGOS VEIN [J].

BREWER, LA .

AMERICAN JOURNAL OF SURGERY, 1955, 90 (02) :210-227

[7]

CARNIEL MR, 1971, CHEST, V59, P107

[8] THORACIC DUCT LACERATION - CLOSURE UNDER CONSERVATIVE MANAGEMENT BASED ON LYMPHANGIOGRAPHY EVALUATION [J].

CHAVEZ, CM ;

CONN, JH .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1966, 51 (05) :724-&

[9]

DECANCQ HG, 1965, SURG GYNECOL OBSTETR, V121, P509

[10]

DIACONIS JN, 1976, RADIOLOGY, V118, P557

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