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식도 절제 후 발생된 유미흉의 치료방법으로 복부 흉관 결찰술

Other Titles
 Transabdominal Ligation of the Thoracic Duct as Treatment Method for Postoperative Chylothorax after Esophagectomy 
 윤호영  ;  이상훈  ;  김충배 
 Journal of the Korean Surgical Society (대한외과학회지), Vol.73(2) : 169-172, 2007 
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지) 
Issue Date
Postoperative chylothorax following an injury to the thoracic duct during an esophagectomy is a rare, but severe complication, which may lead to serious problems, such as loss of fat and proteins, as well as immunodeficiency. Left untreated, the rate of mortality can rise to over 50%. Herein, 3 patients were treated with a postoperative chylothorax following 280 resections of the esophagus (0.1%). One patient underwent a direct injured thoracic duct ligation by a re-thoracotomy. In the other two patients, relaparotomy and transabdominal double ligation of the thoracic duct were performed. After ligation of the abdominal thoracic duct, the average amount of chyle was markedly reduced. Two patients were discharge from hospital without problems after 36 and 30 days, respectively. Ligation of the thoracic duct, via a relaparotomy, appears to be a simple and safe method for the treatment postoperative chylothorax.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Choong Bai(김충배)
Yoon, Ho Young(윤호영)
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