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Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Thoracoscopic diagnosis and clipping of an idiopathic defect of the thoracic lymphatic duct complicated by recurrent left-sided chylothorax

Authors:

Topolnitskiy E.B.

More about the authors

Journal: Endoscopic Surgery. 2023;29(6): 93‑97

DOI: 10.17116/endoskop20232906193

Views: 843

Downloaded: 6

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Table of contents

THORACOSCOPIC DIAGNOSIS AND CLIPPING OF AN IDIOPATHIC DEFECT OF THE THORACIC LYMPHATIC DUCT COMPLICATED BY RECURRENT LEFT-SIDED CHYLOTHORAX
THORACOSCOPIC DIAGNOSIS AND CLIPPING OF AN IDIOPATHIC DEFECT OF THE THORACIC LYMPHATIC DUCT COMPLICATED BY RECURRENT LEFT-SIDED CHYLOTHORAX

To cite this article:

Topolnitskiy EB. Thoracoscopic diagnosis and clipping of an idiopathic defect of the thoracic lymphatic duct complicated by recurrent left-sided chylothorax. Endoscopic Surgery. 2023;29(6):93‑97. (In Russ.)
https://doi.org/10.17116/endoskop20232906193

Подписка 2025-2 (Endoscopic Surgery)
МСФ на ЯМ
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The report presents briefly historical aspects, issues of diagnosis and treatment of chylothorax, as well as a clinical case of successful thoracoscopic visualization and clipping of a defect in the thoracic lymphatic duct at the level of the upper thoracic inlet, complicated by recurrent left-sided chylous effusion.

Keywords:

pleural effusion
chylorrhea
thoracic duct
thoracoscopy
chylothorax treatment

Authors:

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Received:

26.10.2022

Accepted:

07.11.2022

List of references:

  1. Belov IuV, Milanov NO, Stepanenko AB, Gasanov AF. The treatment of chylothorax. Khirurgiya. Zurnal im. N.I. Pirogova. 2012;(10):61-64. (In Russ.).
  2. Makarova MA, Baimakanova GE, Krasovsky SA. Differential diagnosis of chylothorax in therapeutic practice. Terapevticheskii Arkhiv. 2021;93(3):320-326. (In Russ.). https://doi.org/10.26442/00403660.2021.03.200658
  3. McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 2010;104(1):1-8.  https://doi.org/10.1016/j.rmed.2009.08.010
  4. Gilyard SN, Khaja MS, Goswami AK, Kokabi N, Saad WE, Majdalany BS. Traumatic Chylothorax: Approach and Outcomes. Semin Intervent Radiol. 2020;37(3):263-268.  https://doi.org/10.1055/s-0040-1713443
  5. Rudrappa M, Paul M. Chylothorax. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. PMID: 29083798.
  6. Varona Porres D, Persiva Ó, Pallisa E, Sansano I. Diagnostic imaging in spontaneous rupture of a thoracic duct cyst in the mediastinum. Radiologia. 2016;58(6):491-495.  https://doi.org/10.1016/j.rx.2016.03.002
  7. Long WG, Cai B, Liu Y, Wang WJ. Povidone-iodine chemical pleurodesis in treating spontaneous chylothorax in pediatric patients. Ann Palliat Med. 2020;9(3):1004-1012. https://doi.org/10.21037/apm-20-926
  8. Agrawal A, Chaddha U, Kaul V, Desai A, Gillaspie E, Maldonado F. Multidisciplinary Management of Chylothorax. Chest. 2022;20:S0012-3692(22)01101-1.  https://doi.org/10.1016/j.chest.2022.06.012
  9. Wiesner S, Loch E, Uller W, Gößmann H, Neu R, Hofmann HS, Ried M. Evaluation of treatment options for postoperative and spontaneous chylothorax in adults. Interact Cardiovasc Thorac Surg. 2021;33(4):527-533.  https://doi.org/10.1093/icvts/ivab127
  10. Bisenkov LN, Zubarev PN, Trofimov VM, Shalaev SA, Ishchenko VI. Emergency surgery of the chest and abdomen. Rukovodstvo dlya vrachey. SPb.: SpecLit, 2015;574. (In Russ.).
  11. Kas’yanova NYu, Arakelyan VS, Malinin AA, Gidaspov NA, Bockeria LA. Drug treatment of chylothorax. Physiological aspects. Klinicheskaya Fiziologiya Krovoobrashcheniya. 2016;13(2):85-92. (In Russ.).
  12. Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. Respir Med. 2019;157:7-13.  https://doi.org/10.1016/j.rmed.2019.08.014
  13. Parshin VD. Chylothorax in practice of thoracic and cardiovascular surgeon. Khirurgiya. Zurnal im. N.I. Pirogova. 2016;7:36-44. (In Russ.). https://doi.org/10.17116/hirurgia2016736-44
  14. Topolnitskiy EB, Borodina YuA. Videothoracoscopic interventions for tumors and cysts of the mediastinum. Endoskopicheskaya khirurgiya. 2020;26(6):17-21. (In Russ.). https://doi.org/10.17116/endoskop20202606117
  15. Shilenko PA, Tsoi MD, Pavlov AA, Fomenko MS, Osmerkina MN, Kotov SN, Schneider YuA. Thoracoscopic treatment of chylothorax after coronary artery bypass grafting. Kardiologiya i Serdechno-Sosudistaya Khirurgiya. 2019;12(2):164-167. (In Russ.). https://doi.org/10.17116/kardio201912021164

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