Uniportal Thoracoscopic Thoracic Duct Clipping in Poirier’s Triangle for Postoperative Chylothorax

Postoperative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output chylothorax, for whom early surgical thoracic duct ligation has been advocated to minimize morbidity and mortality. This report describes lef...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 107; no. 6; pp. e415 - e416
Main Authors Caronia, Francesco Paolo, Fatica, Federica, Librizzi, Damiano, Fiorelli, Alfonso
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2019
Subjects
Chylothorax - surgery
Female
Humans
Middle Aged
Postoperative Complications - surgery
Thoracic Duct - surgery
Thoracoscopy - methods
Thymectomy - methods
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Summary:Postoperative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output chylothorax, for whom early surgical thoracic duct ligation has been advocated to minimize morbidity and mortality. This report describes left uniportal thoracoscopic closure of persistent high-output chylothorax through Poirier’s triangle in a patient undergoing thoracoscopic thymectomy. After resection of pleural adhesions, the mediastinal pleura was resected at the level of the aortic arch, left subclavian artery, and vertebral column, the anatomic limits of Poirier’s triangle. The thoracic duct was then isolated from the esophagus and successfully clipped along its path.
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2018.09.062