Prone-Position Thoracoscopic Ligation of the Thoracic Duct for Chyle Leak Following Radical Neck Dissection in a Patient with a Right Aortic Arch

• Shirakawa Yasuhiro

• Noma Kazuhiro

• Ohara Toshiaki

• Kashima Hajime

• Maeda Naoaki

• Tanabe Shunsuke

• Kagawa Shunsuke

• Fujiwara Toshiyoshi

抄録

A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (typeⅢB1 of Edwardʼs classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 69 (3), 173-176, 2015-06

  Okayama University Medical School

キーワード

• chyle leak
• thoracic duct
• thoracoscopy
• prone position

詳細情報

• CRID: 1390009224819394432
• NII論文ID: 120005621911
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/53524
• PubMed: 26101193
• Web Site: https://ousar.lib.okayama-u.ac.jp/53524
• Web Site: https://search.jamas.or.jp/link/ui/2016174966
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • PubMed
  • CiNii Articles