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
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

409-415

Commentaires 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.

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Auteurs

Hyuncheol Jeong (H)

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Hyo Yeong Ahn (HY)

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Hoon Kwon (H)

Department of Radiology, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Yeong Dae Kim (YD)

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Jeong Su Cho (JS)

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Jungseop Eom (J)

Department of Internal Medicine, Pusan National University Hospital, Pusan National University Medical Research Institution, Busan, Korea.

Classifications MeSH