식도 절제 후 발생된 유미흉의 치료방법으로 복부 흉관 결찰술

• Published in: Annals of surgical treatment and research Vol. 73; no. 2; pp. 169 - 172
• Main Authors: 윤호영(Ho Young Yoon), 이상훈(Sang Hoon Lee), 김충배(Choong Bai Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.08.2007
• Subjects: 일반외과학; Esophagectomy; 유미흉; 식도 절제술; 흉관 결찰술; Chylothorax; Thoracic duct ligation
• ISSN: 2288-6575; 2288-6796

Postoperative chylothorax following an injury to the thoracic duct during an esophagectomy is a rare, but severe complication, which may lead to serious problems, such as loss of fat and proteins, as well as immunodeficiency. Left untreated, the rate of mortality can rise to over 50%. Herein, 3 patients were treated with a postoperative chylothorax following 280 resections of the esophagus (0.1%). One patient underwent a direct injured thoracic duct ligation by a re-thoracotomy. In the other two patients, relaparotomy and transabdominal double ligation of the thoracic duct were performed. After ligation of the abdominal thoracic duct, the average amount of chyle was markedly reduced. Two patients were discharge from hospital without problems after 36 and 30 days, respectively. Ligation of the thoracic duct, via a relaparotomy, appears to be a simple and safe method for the treatment postoperative chylothorax. (J Korean Surg Soc 2007;73:169-172) KCI Citation Count: 0