Chylopericardium following thoracoscopic resection of a mediastinal cyst: A case report

Abstract

HighlightsA resection of a thoracic duct cyst in the right upper mediastinum resulted in post-operative chylopericardium.Chylous complications in thoracic duct cysts are frequent when intraoperative diagnosis is not reached, such as in cases with anomalous cyst location.A review on post-surgical chylopericardium is performed, which will provide information for future management of this rare complication.

Effect of video‑assisted thoracoscopic surgery on pain stress indicators NO, IL‑1β and IL‑6 in the treatment of mediastinal tumor in children

“…Gopalsamy et al (11) reported that the inhibition of IL-1β and IL-6 expression effectively inhibits the pain stress response. In the study of different operation methods for mediastinal tumor resection, Uchida et al (23) and Kamata et al (24) found that VATS is the first choice for tumor resection. In the present study, a judgement of pain stress indicators was added in the confirmation of results, which enhanced the real-time control of operation.…”

Postoperative complications of mediastinal cyst resection and their management

“…The impact of these respiratory complications is not only clinical but also economical given that they result in longer hospital stay ( 7 , 10 , 11 ). Risk factors for developing postoperative pulmonary complications following thoracic surgery include age, pulmonary function tests, cardiovascular co morbidity, current smoking and chronic obstructive pulmonary disease ( 10 - 12 ).…”

“…Arrhythmias are reported after any thoracic surgery ( 3 , 4 , 7 , 10 , 13 ). Risk factors for arrhythmias include: cardiovascular co-morbidities, postural change, anesthetic agents, extensive dissection, intraoperative bleeding, previous thoracic irradiation and age ( 2 , 3 , 14 ).…”

“…Chylothorax is reported as a common postoperative complication after resection of mediastinal cysts ( 9 , 10 , 13 ). The incidence of chylothorax after mediastinal cyst resection varies in the literature ( 9 , 10 , 13 , 14 ).…”

“…Chylothorax is reported as a common postoperative complication after resection of mediastinal cysts ( 9 , 10 , 13 ). The incidence of chylothorax after mediastinal cyst resection varies in the literature ( 9 , 10 , 13 , 14 ). Etiologies of chylothorax include resection of mediastinal cyst with incomplete ligation of lymphatic channels or direct injury to the thoracic duct at the time of the resection ( 9 ).…”