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...

Full description

Saved in:
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
Online AccessGet full text

Cover

Abstract 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.
AbstractList 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.
Author Caronia, Francesco Paolo
Fatica, Federica
Fiorelli, Alfonso
Librizzi, Damiano
Author_xml – sequence: 1
  givenname: Francesco Paolo
  surname: Caronia
  fullname: Caronia, Francesco Paolo
  organization: Thoracic Surgery Unit, Ospedale Civico di Palermo, Palermo, Italy
– sequence: 2
  givenname: Federica
  surname: Fatica
  fullname: Fatica, Federica
  organization: Thoracic Surgery Unit, Ospedale Civico di Palermo, Palermo, Italy
– sequence: 3
  givenname: Damiano
  surname: Librizzi
  fullname: Librizzi, Damiano
  organization: Thoracic Surgery Unit, Ospedale Civico di Palermo, Palermo, Italy
– sequence: 4
  givenname: Alfonso
  surname: Fiorelli
  fullname: Fiorelli, Alfonso
  email: alfonso.fiorelli@unicampania.it
  organization: Thoracic Surgery Unit, Università della Campania Luigi Vanvitelli, Naples, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30444992$$D View this record in MEDLINE/PubMed
BookMark eNqFkEtOwzAQhi1UBKVwBZQlmwQ_kjReQnlKlWDRri3HnhRXaRzspIId1-B6nAT3ASxZzYzmn_lnvhM0aGwDCEUEJwST_HKZyO7FOql87xKKSZFgnuCcHqAhyTIa5zTjAzTEGLM45ePsGJ14vwwlDe0jdMxwmqac0yHS88a01nWyjmbbjdYr2xq1r0Jy06sumtSmbU2ziEwTPVvjDLivj08fzZyRzaKGqLIuNHxnW3CyM2uIJi_vtd1e-XaKDitZezjbxxGa393OJg_x9On-cXI1jVVK0y4e53lRcc44r3RJS60VcEnKqki1VBXPi3KMM9BUaUoJITQbl3nOMSelZqxkjI3QxW5v6-xrD74TK-MV1LVswPZeUMIyQlla0CAtdlLlrPcOKtE6s5LuXRAsNozFUvwxFhvGAnMRGIfR871LX65A_w7-QA2C650Awq_rgEp4ZaBRoI0D1Qltzf8u3778l38
CitedBy_id crossref_primary_10_1007_s13665_019_0226_7
crossref_primary_10_1007_s00595_020_02143_y
Cites_doi 10.1053/j.optechstcvs.2017.04.001
10.1007/s00276-010-0681-x
10.1093/icvts/ivu115
10.21037/jtd.2017.09.87
10.1016/S0003-4975(10)61372-0
10.1016/0003-4975(95)00415-H
10.1016/j.athoracsur.2011.10.060
ContentType Journal Article
Copyright 2019 The Society of Thoracic Surgeons
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Copyright_xml – notice: 2019 The Society of Thoracic Surgeons
– notice: Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.1016/j.athoracsur.2018.09.062
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
EISSN 1552-6259
EndPage e416
ExternalDocumentID 10_1016_j_athoracsur_2018_09_062
30444992
S0003497518316394
Genre Journal Article
Case Reports
GroupedDBID ---
--K
.1-
.55
.FO
.GJ
0R~
1B1
1P~
1~5
23M
3O-
4.4
457
4G.
53G
5GY
5RE
5VS
6J9
7-5
71M
AAEDT
AAEDW
AAEJM
AAIAV
AALRI
AAQFI
AAQQT
AAQXK
AAXUO
ABJNI
ABLJU
ABMAC
ABOCM
ACGFO
ACGFS
ACIUM
ACRZS
ADBBV
ADMUD
ADPAM
AENEX
AEVXI
AFCTW
AFFNX
AFRHN
AFTJW
AGHFR
AGZHU
AHPSJ
AI.
AITUG
AJJEV
AJUYK
ALMA_UNASSIGNED_HOLDINGS
ALXNB
AMRAJ
ASPBG
AVWKF
AZFZN
BAWUL
BELOY
C5W
CS3
DIK
E3Z
EBS
EFJIC
EJD
F5P
FDB
FEDTE
FGOYB
GBLVA
GX1
HVGLF
HZ~
IH2
IHE
J1W
J5H
K-O
KOM
L7B
M41
MO0
N9A
NQ-
O9-
OA-
OK1
OL.
OVD
P2P
P6G
PC.
R2-
RIG
ROL
RPZ
SES
SSZ
TEORI
TR2
UDS
UNMZH
UV1
VH1
W8F
X7M
XH2
XPP
Z5R
ZA5
ZGI
ZXP
AKRWK
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
ACRPL
ADNMO
CITATION
7X8
ID FETCH-LOGICAL-c424t-7668f99399fdb2bddce9a1bf84dacf968b705ed2cd22111257b669091bd33b333
ISSN 0003-4975
IngestDate Sat Aug 17 00:34:49 EDT 2024
Fri Dec 06 01:13:23 EST 2024
Sat Sep 28 08:31:57 EDT 2024
Fri Feb 23 02:27:07 EST 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 6
Language English
License Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c424t-7668f99399fdb2bddce9a1bf84dacf968b705ed2cd22111257b669091bd33b333
Notes ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
OpenAccessLink http://www.annalsthoracicsurgery.org/article/S0003497518316394/pdf
PMID 30444992
PQID 2135123482
PQPubID 23479
ParticipantIDs proquest_miscellaneous_2135123482
crossref_primary_10_1016_j_athoracsur_2018_09_062
pubmed_primary_30444992
elsevier_sciencedirect_doi_10_1016_j_athoracsur_2018_09_062
PublicationCentury 2000
PublicationDate June 2019
2019-Jun
2019-06-00
20190601
PublicationDateYYYYMMDD 2019-06-01
PublicationDate_xml – month: 06
  year: 2019
  text: June 2019
PublicationDecade 2010
PublicationPlace Netherlands
PublicationPlace_xml – name: Netherlands
PublicationTitle The Annals of thoracic surgery
PublicationTitleAlternate Ann Thorac Surg
PublicationYear 2019
Publisher Elsevier Inc
Publisher_xml – name: Elsevier Inc
References Shah, Luketich, Schuchert (bib2) 2012; 93
Caronia, Fiorelli, Ruffini (bib8) 2014; 19
Patterson, Todd, Delarue (bib1) 1981; 32
Worthington, de Groot, Gunning (bib6) 1995; 60
Nadolski, Itkin (bib3) 2013; 19
Tubbs, Noordeh, Parmar (bib5) 2010; 32
Devulapalli, Anderson, Llore (bib4) 2016; 21
Caronia, Arrigo, Fiorelli (bib7) 2017; 9
Nadolski (10.1016/j.athoracsur.2018.09.062_bib3) 2013; 19
Caronia (10.1016/j.athoracsur.2018.09.062_bib7) 2017; 9
Devulapalli (10.1016/j.athoracsur.2018.09.062_bib4) 2016; 21
Tubbs (10.1016/j.athoracsur.2018.09.062_bib5) 2010; 32
Worthington (10.1016/j.athoracsur.2018.09.062_bib6) 1995; 60
Patterson (10.1016/j.athoracsur.2018.09.062_bib1) 1981; 32
Shah (10.1016/j.athoracsur.2018.09.062_bib2) 2012; 93
Caronia (10.1016/j.athoracsur.2018.09.062_bib8) 2014; 19
References_xml – volume: 19
  start-page: 426
  year: 2014
  end-page: 435
  ident: bib8
  article-title: A comparative analysis of Pancoast tumour resection performed via video-assisted thoracic surgery versus standard open approaches
  publication-title: Interact Cardiovasc Thorac Surg
  contributor:
    fullname: Ruffini
– volume: 21
  start-page: 152
  year: 2016
  end-page: 159
  ident: bib4
  article-title: Thoracic duct ligation: right video-assisted thoracoscopic surgery approach
  publication-title: Oper Tech Thorac Cardiovasc Surg
  contributor:
    fullname: Llore
– volume: 19
  start-page: 380
  year: 2013
  end-page: 386
  ident: bib3
  article-title: Thoracic duct embolization for the management of chylothoraces
  publication-title: Curr Opin Pulm Med
  contributor:
    fullname: Itkin
– volume: 32
  start-page: 757
  year: 2010
  end-page: 760
  ident: bib5
  article-title: Reliability of Poirier’s triangle in localizing the thoracic duct in the thorax
  publication-title: Surg Radiol Anat
  contributor:
    fullname: Parmar
– volume: 9
  start-page: 4057
  year: 2017
  end-page: 4063
  ident: bib7
  article-title: Uniportal video-assisted lobectomy through a posterior approach
  publication-title: J Thorac Dis
  contributor:
    fullname: Fiorelli
– volume: 60
  start-page: 272
  year: 1995
  end-page: 274
  ident: bib6
  article-title: Isolated thoracic duct injury after penetrating chest trauma
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Gunning
– volume: 32
  start-page: 44
  year: 1981
  end-page: 49
  ident: bib1
  article-title: Supradiaphragmatic ligation of the thoracic duct in intractable chylous fistula
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Delarue
– volume: 93
  start-page: 897
  year: 2012
  end-page: 903
  ident: bib2
  article-title: Postesophagectomy chylothorax: incidence, risk factors, and outcomes
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Schuchert
– volume: 19
  start-page: 380
  year: 2013
  ident: 10.1016/j.athoracsur.2018.09.062_bib3
  article-title: Thoracic duct embolization for the management of chylothoraces
  publication-title: Curr Opin Pulm Med
  contributor:
    fullname: Nadolski
– volume: 21
  start-page: 152
  year: 2016
  ident: 10.1016/j.athoracsur.2018.09.062_bib4
  article-title: Thoracic duct ligation: right video-assisted thoracoscopic surgery approach
  publication-title: Oper Tech Thorac Cardiovasc Surg
  doi: 10.1053/j.optechstcvs.2017.04.001
  contributor:
    fullname: Devulapalli
– volume: 32
  start-page: 757
  year: 2010
  ident: 10.1016/j.athoracsur.2018.09.062_bib5
  article-title: Reliability of Poirier’s triangle in localizing the thoracic duct in the thorax
  publication-title: Surg Radiol Anat
  doi: 10.1007/s00276-010-0681-x
  contributor:
    fullname: Tubbs
– volume: 19
  start-page: 426
  year: 2014
  ident: 10.1016/j.athoracsur.2018.09.062_bib8
  article-title: A comparative analysis of Pancoast tumour resection performed via video-assisted thoracic surgery versus standard open approaches
  publication-title: Interact Cardiovasc Thorac Surg
  doi: 10.1093/icvts/ivu115
  contributor:
    fullname: Caronia
– volume: 9
  start-page: 4057
  year: 2017
  ident: 10.1016/j.athoracsur.2018.09.062_bib7
  article-title: Uniportal video-assisted lobectomy through a posterior approach
  publication-title: J Thorac Dis
  doi: 10.21037/jtd.2017.09.87
  contributor:
    fullname: Caronia
– volume: 32
  start-page: 44
  year: 1981
  ident: 10.1016/j.athoracsur.2018.09.062_bib1
  article-title: Supradiaphragmatic ligation of the thoracic duct in intractable chylous fistula
  publication-title: Ann Thorac Surg
  doi: 10.1016/S0003-4975(10)61372-0
  contributor:
    fullname: Patterson
– volume: 60
  start-page: 272
  year: 1995
  ident: 10.1016/j.athoracsur.2018.09.062_bib6
  article-title: Isolated thoracic duct injury after penetrating chest trauma
  publication-title: Ann Thorac Surg
  doi: 10.1016/0003-4975(95)00415-H
  contributor:
    fullname: Worthington
– volume: 93
  start-page: 897
  year: 2012
  ident: 10.1016/j.athoracsur.2018.09.062_bib2
  article-title: Postesophagectomy chylothorax: incidence, risk factors, and outcomes
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2011.10.060
  contributor:
    fullname: Shah
SSID ssj0002155
Score 2.3481336
Snippet Postoperative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output...
SourceID proquest
crossref
pubmed
elsevier
SourceType Aggregation Database
Index Database
Publisher
StartPage e415
SubjectTerms Chylothorax - surgery
Female
Humans
Middle Aged
Postoperative Complications - surgery
Thoracic Duct - surgery
Thoracoscopy - methods
Thymectomy - methods
Title Uniportal Thoracoscopic Thoracic Duct Clipping in Poirier’s Triangle for Postoperative Chylothorax
URI https://dx.doi.org/10.1016/j.athoracsur.2018.09.062
https://www.ncbi.nlm.nih.gov/pubmed/30444992
https://search.proquest.com/docview/2135123482
Volume 107
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3NjtMwELZK98IFgfgrfzISt1XQxnHcWJxWBbRiBULQFXuzYseBrHaTVZtKqCdegwfhhXgSZmI7TaWutMAlSqLmRzNfx5_jmW8IeaEFdkOSItLcyohzDXGQxXmUl7jIlMWm7LQ7338QRyf83Wl6Ohr9GmQtrVr90qx31pX8i1fhHPgVq2T_wrP9TeEE7IN_YQsehu21fAyE0dFnzPNZQGzDGpPK-CPYeb0y7f7svBNh6EpXPjYVtqgLKQ5yuT-H96y_njvtb2zd21xarwY--waz-Rbv9X3IYbs-zr3uchuetRwUWHeLGqi6mwdyDOHINMBXIdb2kEGxWPcDVLQYJA1hMUW1Xvsa-At4wc1FVbNADVFXnFOCZZvhhwuslRLDDxd9Rc1WwifO0bDrnVvptj4opyzCedpW1HbNcj08hzHY8jgdjOdwKHaOFe6zxRm4rDMUWAkz_bJO9taPENtK3J-dmg8uVAHAE8lvkD3UX-Rjsnd4_OnLcU8BgEeloVUjXuBTyFxi4e7nXcWLrpr3dPxnfpvc8hMXeuhQeIeMbH2XFD0C6RYCaUAgRQTSgEBa1dQj8PePn0sasEcBe3QLe3SAvXvk5O2b-ewo8n07IsMZb6OpEFkJvFfKstBMF4WxMo91mfEiN6UUmZ4epLZgpmAMhloYNLQQEoirLpJEJ0lyn4zrprYPCU0t-L5MUq2nnBuTSWuY1mlcFqh9xooJiYPV1KWTZ1Ehb_FMbSyt0NLqQCqw9IS8CuZVnmY6-qgAGde4-nnwiIJIjMtreW2b1VIxbHbJUCxqQh44V_XvlKAso5Ts0X89-zG5ufkjPSHjdrGyT4ETt_qZR-Afsdy-ew
link.rule.ids 314,780,784,27924,27925
linkProvider Library Specific Holdings
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Uniportal+Thoracoscopic+Thoracic+Duct+Clipping+in+Poirier%E2%80%99s+Triangle+for+Postoperative+Chylothorax&rft.jtitle=The+Annals+of+thoracic+surgery&rft.au=Caronia%2C+Francesco+Paolo&rft.au=Fatica%2C+Federica&rft.au=Librizzi%2C+Damiano&rft.au=Fiorelli%2C+Alfonso&rft.date=2019-06-01&rft.pub=Elsevier+Inc&rft.issn=0003-4975&rft.eissn=1552-6259&rft.volume=107&rft.issue=6&rft.spage=e415&rft.epage=e416&rft_id=info:doi/10.1016%2Fj.athoracsur.2018.09.062&rft.externalDocID=S0003497518316394
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0003-4975&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0003-4975&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0003-4975&client=summon