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KMID : 0364019960290060672
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 6 p.672 ~ p.674
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Surgical Management of Chylothorax Complication Transhiatal Esophagectomy in Benign Esophageal Stricture
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Abstract
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Chylothorax is a rare, but well-recognized complication of cardiothoracic surgery and operations in the region of the esophageal or aortic diaphragmatic hiatus.
Especially, in nutritionally depleted patients requiring esophagectomy for benign or malignant diseases, it is a potentially life-threatening disorder that has profound respiratory, nutritional and immunologic consequences.
We have experienced a case of chylothorax after transhiatal esophagectomy in benign esophageal stricture. The diagnosis of chylothorax was confirmed after feeding through the jejunostomy tube by the change of the character of pleural effusion and
high
triglyceride level on the 5th postoperative day. On the thirteenth postoperative day, supradiaphragmaic thoracic duct ligation was performed through right thoracotomy.
We could remove the chest tube on the 22th postoperative day, and the patient is being followed-up at out patient clinic without complications.
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KEYWORD
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