Cause and treatment of postoperative chylothorax in esophageal cancer patients

CHENG Bo; et al

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Cause and treatment of postoperative chylothorax in esophageal cancer patients

更新时间：2024-01-17

- Cause and treatment of postoperative chylothorax in esophageal cancer patients
- Journal of Chongqing Medical University Issue 2, Pages: 277-279(2006)
- 作者机构：
  
  1. 重庆医科大学第二附属医院胸外科
  2. 重庆医科大学第二附属医院胸外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：
  CLC： R735.1
- Published：2006，
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[1]程波,汪天虎,张力平,陈诗奉,江跃全.食管癌术后并发乳糜胸的原因及治疗[J].重庆医科大学学报,2006(02):277-279.

CHENG Bo, et al. Cause and treatment of postoperative chylothorax in esophageal cancer patients. [J]. Journal of Chongqing Medical University (2):277-279(2006)
[1]程波,汪天虎,张力平,陈诗奉,江跃全.食管癌术后并发乳糜胸的原因及治疗[J].重庆医科大学学报,2006(02):277-279. DOI：

CHENG Bo, et al. Cause and treatment of postoperative chylothorax in esophageal cancer patients. [J]. Journal of Chongqing Medical University (2):277-279(2006) DOI：

摘要

目的:探讨食管癌术后并发乳糜的原因及治疗方法。方法:分析13例食管癌术后发生乳糜胸者的手术过程及术后引流量等相关指标。结果:本组13例中12例行主动脉弓上吻合

1例主动脉下吻合。术后病理均为鳞状细胞癌;其中T1 2例

T2 3例

T3 8例;N0 8例

N1 5例

M0 13例。术后引流量320￣1530ml/天

平均560ml/天

白蛋白总用量30￣210g

血浆总用量1000￣8000ml;9例行二次开胸胸导管结扎术治疗

两次手术间隔时间9￣21天。4例保守治疗

胸腔注射重组人血白介素II等。全部病例均治愈。结论:肿瘤外侵处

主动脉弓后和弓上部位胸导管易受损伤

此为产生乳糜胸的主要原因

手术部位的良好显露在一定程度上可避免胸导管损伤。胸腔引流量平均在500ml/d以上

保守治疗1w无好转者

应考虑手术治疗。

Abstract

Objective: To study the cause and treatment of postoperative chylothorax in esophageal cancer patients.Methods: The operative procedure and postoperative thoracic drainage volume(PTDV) of the patients with postoperative chylothoreax were analyzed.The cause and treatment of postoperative chylothorax were reviewed.Results: Postlateral thoractomy was performed in all 13 cases.Esophageal gastric layer by layer anastomoses were performed in all cases.The sites of anastomoses were above the aorta arch in 12 cases

and below the arch in 1 case respectively.Post-operative pathology showed squamous carcinoma in 13 cases.TNM: T1 2 cases

T2 3 cases

T3 8case;N0 8 cases

N1 5 cases

M0 13 cases.PTDV was 320~1530 ml/d(mean:560ml/day).Albumin: 30~210g.The volume of plasma was 1000~8000ml.The length of time of surgical intervention from esphageal surgery was 9~21 days.Ligation of the thoracic duct was used in 9 cases.The treatmenrt was conservative in 4 cases.All patents were discharged without recurrent chylothorax.Conclusions: It is easy to damage the thoracic duct in the sites of invading

post and above aorta arch.It could partly avoid the thoracic duct damage by good exposure.PTDV is more than 500ml/day

and if the symptom lasts over one week

surgical intervention should be considered.

关键词

食管癌乳糜胸原因治疗

Keywords

Esophageal canaerchylothoraxCausetreatment

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Related Institution

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