Video 1 Uniportal video-assisted thoracoscopic surgery right thoracic duct ligation. Uniportal VATS ligation of thoracic duct for chyle leak can be considered as the primary approach for surgical treatment. The patient made uneventful recovery with complete resolution of chyle leak. In this case report, we describe a patient with chyle leak after right supraclavicular lymph node biopsy whom failed non-surgical management and underwent right uniportal VATS thoracic duct ligation, without dividing the duct. Thoracic duct ligation by uniportal video-assisted thoracoscopic surgery (VATS) is rarely described in the literature. However, if conservative measures fail or in high output chyle leak, surgical intervention is indicated. Low output chyle leak (<500 mL/day) is usually managed successfully by non-surgical approach which consist of dietary modification (fat intake <10 g/day), pharmacological treatment (subcutaneous octreotide injection 0.1 mg every 8 hours for 3 to 5 days) and drainage. The diagnosis of chyle leak can be made by demonstrating milky drainage, fluid analysis for chyle (triglyceride level >110 mg/dL, lymphocyte count >90% of total white blood cell count or total protein content similar to plasma) as well as lymphangiogram to identify the leak point.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |