Surgical case reports · 2022
Transhiatal bilateral thoracic duct ligation for duplicated thoracic duct injury after esophagectomy: a case report.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Komatsuzaki Shuhei, Hisakura Katsuji, Ogawa Koichi, Akashi Yoshimasa, Kim Jaejeong, Moue Shoko, Miyazaki Yoshihiro, Furuya Kinji, Doi Manami, Owada Yohei, Shimomura Osamu, Ohara Yusuke, Takahashi Kazuhiro, Hashimoto Shinji, Enomoto Tsuyoshi, Koike Naoto, Oda Tatsuya
Аннотация
BACKGROUND: The treatment of duplicated thoracic ducts (TDs) injury after esophagectomy generally requires a bilateral transthoracic approach. We present the cases of two patients with postoperative chylothorax who underwent transhiatal bilateral TD ligation for duplicated TDs.
CASE PRESENTATION: Two patients diagnosed with chylothorax after esophagectomy performed for thoracic esophageal cancer underwent transhiatal TD ligation. Although supradiaphragmatic mass ligation was performed on the fat tissue of the right side of the aorta containing the TD, chyle leakage persisted. To tackle this, the fat tissue of the left side of the aorta was ligated, after which the chyle leakage stopped.
CONCLUSION: Compared to the conventional transthoracic approach, the transhiatal approach enables the ligation of both left- and right-sided TD in a single surgical operation, without the need to change the patient's posture. This approach may be appropriate for the treatment of chylothorax after esophagectomy, considering the possibility of duplicated TDs.
CASE PRESENTATION: Two patients diagnosed with chylothorax after esophagectomy performed for thoracic esophageal cancer underwent transhiatal TD ligation. Although supradiaphragmatic mass ligation was performed on the fat tissue of the right side of the aorta containing the TD, chyle leakage persisted. To tackle this, the fat tissue of the left side of the aorta was ligated, after which the chyle leakage stopped.
CONCLUSION: Compared to the conventional transthoracic approach, the transhiatal approach enables the ligation of both left- and right-sided TD in a single surgical operation, without the need to change the patient's posture. This approach may be appropriate for the treatment of chylothorax after esophagectomy, considering the possibility of duplicated TDs.