Lymphangiographic Interventions to Manage Postoperative Chylothorax.
Chylothorax
Lymphography
Postoperative care
Thoracic duct
Thoracic surgery
Journal
The Korean journal of thoracic and cardiovascular surgery
ISSN: 2233-601X
Titre abrégé: Korean J Thorac Cardiovasc Surg
Pays: Korea (South)
ID NLM: 101563922
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
04
01
2019
revised:
03
06
2019
accepted:
05
06
2019
entrez:
14
12
2019
pubmed:
14
12
2019
medline:
14
12
2019
Statut:
ppublish
Résumé
Postoperative chylothorax may be caused by iatrogenic injury of the collateral lymphatic ducts after thoracic surgery. Although traditional treatment could be considered in most cases, resolution may be slow. Radiological interventions have recently been developed to manage postoperative chylothorax. This study aimed to compare radiological interventions and conservative management in patients with postoperative chylothorax. We retrospectively reviewed periprocedural drainage time, length of hospital stay, and nil per os (NPO) duration in 7 patients who received radiological interventions (intervention group [IG]) and in 9 patients who received conservative management (non-intervention group [NG]). The baseline characteristics of the patients in the IG and NG were comparable; however, the median drainage time and median length of hospital stay after detection of chylothorax were significantly shorter in the IG than in the NG (6 vs. 10 days, p=0.036 and 10 vs. 20 days, p=0.025, respectively). NPO duration after chylothorax detection and total drainage duration were somewhat shorter in the IG than in the NG (5 vs. 7 days and 8 vs. 14 days, respectively). This study showed that radiological interventions reduced the duration of drainage and the length of hospital stay, allowing an earlier return to normal life. To overcome several limitations of this study, a prospective, randomized controlled trial with a larger number of patients is recommended.
Sections du résumé
BACKGROUND
BACKGROUND
Postoperative chylothorax may be caused by iatrogenic injury of the collateral lymphatic ducts after thoracic surgery. Although traditional treatment could be considered in most cases, resolution may be slow. Radiological interventions have recently been developed to manage postoperative chylothorax. This study aimed to compare radiological interventions and conservative management in patients with postoperative chylothorax.
METHODS
METHODS
We retrospectively reviewed periprocedural drainage time, length of hospital stay, and nil per os (NPO) duration in 7 patients who received radiological interventions (intervention group [IG]) and in 9 patients who received conservative management (non-intervention group [NG]).
RESULTS
RESULTS
The baseline characteristics of the patients in the IG and NG were comparable; however, the median drainage time and median length of hospital stay after detection of chylothorax were significantly shorter in the IG than in the NG (6 vs. 10 days, p=0.036 and 10 vs. 20 days, p=0.025, respectively). NPO duration after chylothorax detection and total drainage duration were somewhat shorter in the IG than in the NG (5 vs. 7 days and 8 vs. 14 days, respectively).
CONCLUSION
CONCLUSIONS
This study showed that radiological interventions reduced the duration of drainage and the length of hospital stay, allowing an earlier return to normal life. To overcome several limitations of this study, a prospective, randomized controlled trial with a larger number of patients is recommended.
Identifiants
pubmed: 31832377
doi: 10.5090/kjtcs.2019.52.6.409
pii: kjtcv-52-409
pmc: PMC6901187
doi:
Types de publication
Journal Article
Langues
eng
Pagination
409-415Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2019 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved.
Déclaration de conflit d'intérêts
Conflict of interest No potential conflict of interest relevant to this article was reported.
Références
Ann Vasc Surg. 2018 Oct;52:168-175
pubmed: 29783028
Eur J Radiol. 2018 Dec;109:41-47
pubmed: 30527310
J Vasc Interv Radiol. 2018 Feb;29(2):194-202.e4
pubmed: 29287962
Thorac Cardiovasc Surg. 2011 Oct;59(7):436-8
pubmed: 21432756
J Cardiothorac Surg. 2011 Jun 27;6:87
pubmed: 21707987
Cir Pediatr. 2019 Jan 21;32(1):41-45
pubmed: 30714700
Clin Case Rep. 2018 Feb 27;6(4):702-708
pubmed: 29636944
Rofo. 2015 Jul;187(7):584-8
pubmed: 26090651
Respirology. 2018 Jan;23(1):55-59
pubmed: 28980363
J Thorac Cardiovasc Surg. 2018 Aug;156(2):838-843
pubmed: 29759734
Dtsch Arztebl Int. 2013 Nov 29;110(48):819-26
pubmed: 24333368
J Thorac Cardiovasc Surg. 2013 Sep;146(3):571-4
pubmed: 23764409
Ann Thorac Surg. 2014 Feb;97(2):408-13
pubmed: 24365215
Zentralbl Chir. 2019 Jun;144(3):290-297
pubmed: 30321883
Chest. 1998 Sep;114(3):731-5
pubmed: 9743158
Eur J Pediatr. 2014 Jun;173(6):823-6
pubmed: 24573572
Br J Hosp Med (Lond). 2017 May 2;78(5):294-295
pubmed: 28489449
J Vasc Surg Venous Lymphat Disord. 2018 Mar;6(2):237-240
pubmed: 29454438
Ann Thorac Surg. 2018 Jan;105(1):254-262
pubmed: 29132697
J Vasc Interv Radiol. 2005 Sep;16(9):1257-62
pubmed: 16151069