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Thorac Cardiovasc Surg 2019; 67(07): 606-609
DOI: 10.1055/s-0038-1677507
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Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Transhiatal Thoracic Duct Ligation for Chylothorax after Esophagectomy

Yukinori Yamagata 
1   Department of Gastric Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
2   Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Saitama, Japan
,
Kazuyuki Saito
2   Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Saitama, Japan
,
Kosuke Hirano
2   Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Saitama, Japan
,
Masatoshi Oya
2   Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Saitama, Japan
› Author Affiliations
Further Information

Publication History

25 September 2018

05 December 2018

Publication Date:
22 January 2019 (online)

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Abstract

In esophagectomy for thoracic esophageal cancer, chylothorax may develop at a certain frequency. For chylothorax, conservative treatment is selected first, but if it is not improved, thoracic duct (TD) ligation is considered. In general, transthoracic approach is chosen to reach the TD. However, it is sometimes difficult to identify the TD due to adhesion in the thoracic cavity. Hence, we selected a laparoscopic transhiatal approach to the TD. We introduce the procedure of our laparoscopic transhiatal TD ligation technique.

Keywords

thoracic duct - mediastinum - esophageal - surgery

Dr. Yamagata's ORCID is 0000-0003-2624-1251.


 

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