Quilotórax bilateral masivo en postoperatorio de gastrectomía subtotal

Medina, E.; Anguiano, M. P.; Agudo, O.; Lobo, José Eduardo de Oliveira; Tihista, J. A.; Alonso, Ignacio; Calvo, Antonio Rodriguez

doi:10.4321/s1137-66272005000500015

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Chylothorax after abdominal surgery is rare. 1 Over a 5-year period we encountered only three cases of postoperative chylothorax following abdominal surgery performed in general surgery units. This complication initially mimicked a pleural effusion and empyema, thus delaying a correct diagnosis and prompt treatment.…”

Section: Introductionmentioning

confidence: 98%

Chylothorax after abdominal surgery

Griffo

Luca

Stassano

2010

Gen Thorac Cardiovasc Surg

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Chylothorax is usually a complication of thoracic surgery procedures. Over a 5-year period we encountered three cases of chylothorax following abdominal surgery performed in general surgery units. The initial effusions, not lactescent, were ascribed to a pleural reaction that sometimes is observed during the postoperative period after abdominal surgery. Once the diagnosis was established, the initial conservative treatment failed, and surgery was necessary. In our patients, their debilitated physical condition precluded a thoracotomy approach. A video-assisted thoracoscopy procedure was undertaken, but the extensive pleural effusions, caused in part by the delay in the diagnosis, prevented the exact localization of the duct and its closure. Talc pleurodesis was successfully employed in all patients. Even after abdominal surgery, a persistent pleural effusion should always induce us to suspect a chylothorax.

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Section: Introductionmentioning

confidence: 98%

Chylothorax after abdominal surgery

Griffo

Luca

Stassano

2010

Gen Thorac Cardiovasc Surg

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Cisterna chyli: A detailed anatomic investigation

et al. 2007

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With recent laparoscopic advancements in retroperitoneal and thoracic surgical procedures, familiarity with major lymphatic structures, such as including the cisterna chyli (CC) and thoracic duct (TD), has proven beneficial in avoiding misdiagnosis and iatrogenic intraoperative injury. In this light, the aim of our study was to explore and delineate the topography of the CC, classify the different patterns of lymphatic tributaries, and categorize its varying location with respect to the vertebral bodies. The anatomy of the CC was examined in 120 adult human cadavers. The CC was found in 83.3% of the specimens and both the tributaries of the CC and the location, with respect to vertebral level, demonstrated wide variation. The results were classified into four types. The most common tributary configuration (type I), found in 45% specimens, was a single CC formed by the union of the left lumbar trunk (LT) and the intestinal trunk (IT). In 30% the CC was formed where the IT opened into the TD and the right lumbar trunk (RT), LT, retroaortic nodes (RN) and branches from the intercostal lymphatics (IL) joined variably (type II). In 20% the CC was formed by the junction of the RT and IT (type III), while in 5% there was a variable confluence pattern of lymphatic trunks that could not be classified (type IV). The CC was located at L1-L2 (type A) in 63%, T12-L1 (type B) in 21%, T11-T12 (type C) in 8%, T10-11 (type D) in 5%, and T9-10 (Type E) in 3%, of the specimens. The CC was found in the retrocrural space and, in 75% of the cases, to the right of the abdominal aorta. We hope that the data supplied by this study will provide useful information in the future to anatomists, radiologists and surgeons alike.

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Quilotórax bilateral masivo en postoperatorio de gastrectomía subtotal

Cited by 2 publications

References 8 publications

Chylothorax after abdominal surgery

Chylothorax after abdominal surgery

Cisterna chyli: A detailed anatomic investigation

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