Document Detail


Management of chylothorax after thoracoscopic splanchnicectomy.
MedLine Citation:
PMID:  10414545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thoracoscopic splanchnicectomy is a minimally invasive procedure used in the treatment of recalcitrant abdominal pain in patients with chronic pancreatitis or pancreatic carcinoma. Chylothorax, an uncommon complication of thoracoscopic splanchnicectomy, may lead to a protracted, costly hospital course of treatment usually consisting of central venous hyperalimentation, restricted oral intake, and tube thoracostomy. In our series of 25 patients who underwent thoracoscopic splanchnicectomy, 2 developed postoperative chylothorax. Both patients failed conservative management and ultimately underwent operative reintervention, at which time, leaking lymphatics were easily identified and closed using minimally invasive techniques. On the basis of this experience, we advocate early thoracoscopic reintervention in patients with chylothorax after thoracoscopic splanchnicectomy.
Authors:
D J Selzer; T J Howard; K A Kesler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  9     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  273-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA. DJSelzer@aol.com
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / surgery
Adult
Aorta, Thoracic
Chronic Disease
Chylothorax / etiology,  surgery*
Female
Humans
Mediastinum / blood supply,  surgery
Pancreatitis / surgery*
Postoperative Complications / surgery*
Splanchnic Nerves / surgery*
Surgical Procedures, Minimally Invasive / methods
Thoracic Duct / surgery
Thoracoscopy / adverse effects*
Veins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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