Prone-position thoracoscopic ligation of the thoracic duct for chyle leak following radical neck dissection in a patient with a right aortic arch

Research output: Contribution to journalArticle

Abstract

A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (type B1 of Edward's classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.

Original languageEnglish
Pages (from-to)173-176
Number of pages4
JournalActa Medica Okayama
Volume69
Issue number3
Publication statusPublished - 2015

Fingerprint

Chyle
Thoracic Duct
Dissection
Prone Position
Neck Dissection
Arches
Thoracic Aorta
Ducts
Surgery
Ligation
Esophagectomy
Length of Stay
Neck
Thorax
Therapeutics

Keywords

  • Chyle leak
  • Prone position
  • Thoracic duct
  • Thoracoscopy

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

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title = "Prone-position thoracoscopic ligation of the thoracic duct for chyle leak following radical neck dissection in a patient with a right aortic arch",
abstract = "A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (type B1 of Edward's classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.",
keywords = "Chyle leak, Prone position, Thoracic duct, Thoracoscopy",
author = "Yasuhiro Shirakawa and Kazuhiro Noma and Toshiaki Ohara and Hajime Kashima and Naoaki Maeda and Shunsuke Tanabe and Shunsuke Kagawa and Toshiyoshi Fujiwara",
year = "2015",
language = "English",
volume = "69",
pages = "173--176",
journal = "Acta Medica Okayama",
issn = "0386-300X",
publisher = "Okayama University",
number = "3",

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TY - JOUR

T1 - Prone-position thoracoscopic ligation of the thoracic duct for chyle leak following radical neck dissection in a patient with a right aortic arch

AU - Shirakawa, Yasuhiro

AU - Noma, Kazuhiro

AU - Ohara, Toshiaki

AU - Kashima, Hajime

AU - Maeda, Naoaki

AU - Tanabe, Shunsuke

AU - Kagawa, Shunsuke

AU - Fujiwara, Toshiyoshi

PY - 2015

Y1 - 2015

N2 - A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (type B1 of Edward's classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.

AB - A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (type B1 of Edward's classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.

KW - Chyle leak

KW - Prone position

KW - Thoracic duct

KW - Thoracoscopy

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