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Prophylactic Thoracic Duct Mass Ligation Prevents Chylothorax After Transthoracic Esophagectomy for Cancer
- Source :
- World Journal of Surgery. 33:1684-1686
- Publication Year :
- 2009
- Publisher :
- Springer Science and Business Media LLC, 2009.
-
Abstract
- Background Chylothorax after transthoracic esophagectomy for cancer is an uncommon but potentially lifethreatening postoperative complication. It has been reported that preventive thoracic duct ligation can reduce the incidence of postoperative chylothorax after esophagectomy for cancer. In this prospective series, we evaluated the results of preventive intraoperative thoracic duct mass ligation in patients who underwent transthoracic esophagectomy for cancer. Methods From 2001 to 2006, 323 patients underwent transthoracic esophagectomy for cancer and duct ligation during the operation was routinely performed. Results No intraoperative or postoperative complications directly related to the procedure were recorded. No postoperative chylothorax was observed. Conclusions In this series, the technique of intraoperative thoracic duct mass ligation proved to be safe and effectively prevented postoperative chylothorax in patients who underwent transthoracic esophagectomy for cancer.
- Subjects :
- Male
medicine.medical_specialty
Esophageal Neoplasms
medicine.medical_treatment
Chylothorax
Thoracic duct
Thoracic Duct
Postoperative Complications
Stomach Neoplasms
medicine
Humans
Prospective Studies
Esophagus
Ligation
business.industry
Postoperative complication
Cardia
medicine.disease
Surgery
Esophagectomy
Treatment Outcome
medicine.anatomical_structure
Cardiothoracic surgery
Female
business
Abdominal surgery
Subjects
Details
- ISSN :
- 14322323 and 03642313
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- World Journal of Surgery
- Accession number :
- edsair.doi.dedup.....134f738ba3b2fc094e110b470223cea2