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Kyobu geka. The Japanese journal of thoracic surgery · 2018

[Assessment of Fat-free Diet for Postoperative Chylothorax].

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Furukawa Masashi, Hara Akio, Miyazaki Ryohei, Yokoyama Shintaro, Hayashi Masataro, Tao Hiroyuki, Okabe Kazunori

Аннотация

BACKGROUND: Chylothorax after lung cancer surgery is relatively rare but must be considered as a complication of thoracic surgery.

METHOD: Between January 2012 and June 2017, 818 patients underwent lung cancer surgery at our hospital. Among them, 14 (1.7%) patients with chylothorax were retrospectively reviewed. Three patients were treated with oral intake cessation except water and total parental nutrition( TPN)[TPN group], 11 patients were treated with a fat-free diet( fat-free diet group).

RESULTS: The drainage period was similar in both group [group TPN;13 (12~14) days and group fat-free diet;15.7 (6~42) days]. In the TPN group, 3 patients underwent pleurodesis and no patient needed surgical intervention. In the fat-free diet group, 5 patients improved only with diet management. Pleurodesis was necessary in 5 of which 3 underwent surgical intervention.

CONCLUSIONS: A fat-free diet is useful in treating chylothorax after lung cancer surgery.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты