@article{ALES3617,
author = {Emanuele Asti and Stefano Siboni and Luigi Bonavina},
title = {Minimally invasive surgical management of chylothorax complicating esophagectomy},
journal = {Annals of Laparoscopic and Endoscopic Surgery},
volume = {1},
number = {7},
year = {2016},
keywords = {},
abstract = {Chylothorax is a rare complication of esophagectomy associated with increased morbidity and mortality. Prophylactic thoracic duct ligation is generally recommended during transthoracic esophagectomy, but despite this strategy chyle leak can occur. A possible explanation is that in up to 40% of individual the anatomical route of the thoracic duct is anomalous. A two-week wait and see policy with total parenteral nutrition and pleural drainage appears to be justified in patients with a chyle output of less than 1,000 mL per day. The introduction of video-assisted thoracic surgery has offered a safe and effective therapeutic alternative in these patients. We recommend primary en-bloc stapling of the thoracic duct through a right thoracoscopic approach in the semi-prone position.},
issn = {2518-6973}, url = {https://ales.amegroups.org/article/view/3617}
}