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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Chyle leakage in port incision after video-assisted thoracoscopic surgery: case report. | Ma et al. Journal of Cardiothoracic Surgery 2010 5 83 http www.cardiothoracicsurgery.Org content 5 1 83 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Chyle leakage in port incision after video-assisted thoracoscopic surgery case report Lin Ma Qiang Pu Yunke Zhu Lunxu Liu Abstract A 26-year-old Asian male was found to have chyle leakage from the port incision after video-assisted thoracoscopic surgery VATS for excision of pulmonary bullae. The diagnosis was confirmed by oral intake of Sudan black and by lymphoscintigraphy. The leakage resolved after 5 days of restricted oral intake and total parenteral nutrition. No leakage recurred after return of oral intake. Possible explanations for the port incision chyle leakage are obstruction of the thoracic duct which induced retrograde drainage of the lymphoid fluid or an aberrant collateral branch of the thoracic duct in the chest wall. Background Chylous effusion is not a rare complication of thoracic surgery. Cerfolio et al. 1 reported that 47 of 11351 patients who received thoracic operations experienced chylothorax complications. In these 47 cases 27 had undergone esophageal operations 13 lung operations 6 mediastinal operations and 1 underwent surgery of the thoracic aorta due to an aneurysm. In China Zhao et al. 2 reported that of 4084 patients who had undergone resections due to lung cancer 12 developed chylothorax complications. In addition the authors reported that of 4479 cases of resection due to esophageal cancer 52 patients developed chylothorax complications. Thus the incidence of postoperative chylothorax in patients who underwent surgery for lung cancer was 0.29 and that of esophageal cancer was 1.16 . Chylothorax causes serious clinical consequences including cachexia and immunodeficiency 3 . Chyle leakage in port incisions has rarely been reported. Chyle leakage can be confirmed by qualitative testing for the presence of chyle the Sudan black test and by dynamic lymphoscintigraphy. Case
