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

3 Citations (Scopus)


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
Issue number3
Publication statusPublished - Jan 1 2015



  • Chyle leak
  • Prone position
  • Thoracic duct
  • Thoracoscopy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this