2,046 results match your criteria Chyle Fistula


Lymphatic interventions for isolated, iatrogenic chylous ascites: A multi-institution experience.

Eur J Radiol 2018 Dec 25;109:41-47. Epub 2018 Oct 25.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, United states.

Objectives: Lymphangiography and thoracic duct embolization are established treatments for post-surgical chylothorax. There is only limited experience in their application to treat post-surgical chylous ascites. A multi-center analysis of the technical and clinical success of lymphangiography and lymphatic interventions in the treatment of isolated, iatrogenic chylous ascites is reported. Read More

View Article
December 2018
1 Read

Meta-analysis Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy and Conventional Thyroidectomy.

Surg Innov 2018 Dec 3:1553350618817145. Epub 2018 Dec 3.

1 Department of Surgery, The Second Hospital of Shandong University, Jinan, Shandong, China.

Objective: Despite gaining popularity, bilateral axillo-breast approach robotic thyroidectomy (BABA RT) remains controversial. We performed a meta-analysis to evaluate the safety and effectiveness of BABA RT compared with open thyroidectomy (OT) in thyroid disease.

Methods: A literature search was conducted using various databases, including PubMed, Web of Science, and Cochrane Library, up to February 2018. Read More

View Article
December 2018
4 Reads

Chylothorax after hepatectomy: a case report.

J Med Case Rep 2018 Nov 26;12(1):347. Epub 2018 Nov 26.

Department of Surgery, Yachiyo Hospital, 2-2-7, Sumiyoshi-cho, Anjo-shi, Aichi, 446-8510, Japan.

Background: Chylothorax is the accumulation of chyle within the pleural space. Chylothorax can occur as a complication after multiple different types of surgery, most frequently after thoracic surgery, albeit with an incidence rate of less than 1%. Chylothorax after abdominal surgery is extremely rare, and there are only a few case reports. Read More

View Article
November 2018
1 Read

Novel Magnified Single-Balloon Enteroscopy Enables Observation of Jejunal White Spots Associated with Lymphangiectasia.

Dig Dis 2018 Nov 22:1-5. Epub 2018 Nov 22.

A 59-year-old woman was diagnosed with primary intestinal lymphangiectasia (PIL), with characteristic findings on capsule enteroscopy and confirmation by histopathological examination of biopsy specimens. We viewed the abnormal jejunal mucosa using a newly developed magnifying single-balloon enteroscope (SIF-Y0007). Conventional observation showed leakage of chyle. Read More

View Article
November 2018

Chyle Leak Following Autologous Breast Reconstruction: A Rare Complication of a Deep Inferior Epigastric Artery Perforator Flap.

Ann Plast Surg 2018 Nov 13. Epub 2018 Nov 13.

Department of Plastic Surgery, University of Kansas Health System, Kansas City, KS.

Background: While complications of deep inferior epigastric artery perforator flaps are known and well documented, a thorough literature review revealed no other reports of a patient developing a chyle leak following the use of the internal mammary vessels for recipient vessels in autologous breast reconstruction.

Case: A 55-year-old woman underwent free autologous breast reconstruction. She developed a chyle leak during the postoperative period. Read More

View Article
November 2018
4 Reads

Cloudy Dialysate as the Initial Presentation for Lymphoma.

Case Rep Nephrol 2018 9;2018:2192043. Epub 2018 Oct 9.

Division of Nephrology, Department of Medicine, Ottawa Hospital, Ottawa, ON, Canada.

Turbid dialysate in a patient on peritoneal dialysis is usually due to peritonitis and almost all these patients are started on empirical antibiotics pending cultures. However, in few of them with culture negative fluid, this could represent other etiologies like chyle, which requires more intensive investigations, and analysis of fluid itself reveals some rare diagnosis. We present one such report of chylous ascites with prompt investigation leading to a diagnosis of malignancy in a peritoneal dialysis patient. Read More

View Article
October 2018
1 Read

"Chylous Ascites: Complication of laparoscopic donor nephrectomy. Case Report and review of literature."

Transplantation 2018 Nov 5. Epub 2018 Nov 5.

Department of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Chylous ascites (CA) is an extremely rare complication after laparoscopic donor nephrectomy (LDN). It can increase the hospital stay, morbidity in postoperative period and thus negating the benefits of laparoscopic surgery. Most of the cases were managed conservatively, but surgical intervention may be occasionally required. Read More

View Article
November 2018
3 Reads

Thyroid surgery and obesity: Cohort study of surgical outcomes and local specific complications.

Am J Surg 2019 Jan 24;217(1):142-145. Epub 2018 Jul 24.

Division of Endocrine and Oncologic Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA. Electronic address:

Introduction: Obesity is associated with numerous complications after elective general surgeries. The aim is to compare surgical outcomes and local specific complications in obese and non-obese patients after thyroid surgery.

Methods: Retrospective study over a 3-year period at a North American academic institution. Read More

View Article
January 2019
1 Read
2.291 Impact Factor

The First Report of Robotic Bilateral Modified Radical Neck Dissection Through the Bilateral Axillo-breast Approach for Papillary Thyroid Carcinoma With Bilateral Lateral Neck Metastasis.

Surg Laparosc Endosc Percutan Tech 2018 Oct 31. Epub 2018 Oct 31.

Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine.

Background: Robotic unilateral modified radical neck dissection (MRND) has been reported to be safe and achieves good oncologic results. However, there is no report of successful robotic bilateral MRND to date. We report the first case series of robotic bilateral MRND through the bilateral axillo-breast approach (BABA). Read More

View Article
October 2018
2 Reads

[Feasibility analysis on membrane-based right-sided approach of laparoscopic suprapancreatic lymph node dissection for advanced distal gastric cancer].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Oct;21(10):1142-1147

Department of Gastrointestinal Surgery, Institute of Gastrointestinal Oncology of Xiamen University School of Medicine, Xiamen Municipal Key Laboratory of Gastrointestinal Oncology, Zhongshan Hospital, Xiamen University, Xiamen 361004, China.Email:

Objective: To investigate the feasibility and safety of membrane-based right-sided approach of laparoscopic suprapancreatic lymph node dissection for advanced distal gastric cancer.

Methods: The clinical data of 41 patients with advanced distal gastric cancer who underwent laparoscopic gastrectomy using membrane-based right-sided approach for laparoscopic suprapancreatic lymph node dissection at the Department of Gastrointestinal Surgery, Zhongshan Hospital of Xiamen University from January 2016 to January 2018 were retrospectively analyzed. There were 24 males and 17 females with a mean age of 56. Read More

View Article
October 2018
8 Reads

Clinical application and importance of one-step human CYP2C19 genotype detection.

J Int Med Res 2018 Oct 25:300060518787718. Epub 2018 Oct 25.

2 Coyote Bioscience Co., Ltd., Haidian District, Beijing, China.

Background: To directly achieve cytochrome P450 2C19 gene ( CYP2C19) classification using one-step real-time fluorescent PCR detection and to verify the capabilities of this method with nucleic acid extracted from whole blood samples.

Methods: A human CYP2C19 genotyping kit based on one-step real-time fluorescent PCR detection was used to analyze whole blood or genomic DNA samples. This method was compared with pyrosequencing and another quantitative (q)PCR kit for its accuracy, repeatability, detection range analysis, sensitivity, specificity, and anti-interference analysis. Read More

View Article
October 2018
4 Reads

Retroperitoneal exploration with Vicryl mesh and fibrin tissue sealant for refractory chylous ascites.

J Pediatr Surg 2018 Oct 2. Epub 2018 Oct 2.

Department of Surgery, Division of Pediatric Surgery, University of Michigan, 1540 E Hospital Dr. SPC 4217, Ann Arbor, MI 48109, United States. Electronic address:

Background: Congenital chylous ascites poses a significant challenge in neonatal care, and often results in prolonged, complex hospital stays and increased mortality. Few effective options exist in refractory cases.

Methods: Patients aged 0 to 12 months with refractory chylous ascites underwent retroperitoneal exploration after medical treatment and minimally invasive therapies were unsuccessful. Read More

View Article
October 2018
1 Read

Vascular and lymphatic complications after thoracic duct cannulation.

J Vasc Surg Venous Lymphat Disord 2018 Nov;6(6):730-736

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Mich; Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Va. Electronic address:

Objective: The objective of this study was to determine the incidence of vascular and lymphatic complications after attempted transabdominal thoracic duct cannulation.

Methods: There were 58 patients who underwent attempted thoracic duct cannulation. Patients presented with chyle leak in the chest (n = 40), abdomen (n = 9), neck (n = 8), and pelvis (n = 1). Read More

View Article
November 2018
1 Read

Experience of Lymphangiography as a Therapeutic Tool for Lymphatic Leakage After Kidney Transplantation.

Transplant Proc 2018 Oct 19;50(8):2526-2530. Epub 2018 Mar 19.

Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Introduction: Lymphatic leakage after kidney transplantation is a relatively frequent complication but sometimes resistant to treatment, and there is no fixed treatment algorithm. The effectiveness of therapeutic lymphangiography for postoperative lymphatic or chyle leakage has been reported, but few reports are available regarding patients who have undergone kidney transplantation. In this study, we report our experience with lymphangiography as a therapeutic tool for lymphatic leakage after kidney transplantation. Read More

View Article
October 2018
2 Reads

Granulomatous lymphadenitis mimicking metastatic lymphadenopathy in the neck after lymphatic embolization of chyle leakage: A case report.

Medicine (Baltimore) 2018 Oct;97(41):e12744

Gyeongsang National University School of Medicine, Jinju.

Rationale: Lymphatic embolization is a minimally invasive treatment option for managing chyle leakage after nodal dissection in the neck. After the procedure, the embolic material may cause foreign body granulomatous lymphadenitis and can be a diagnostic challenge for radiologists because of sonographic similarity to metastatic lymph node. Herein, we describe a clinical case of granulomatous lymphadenitis due to embolic material mimicking nodal metastasis detected on ultrasonography (US) with cytologic findings in a patient with thyroid cancer who underwent lymphatic embolization to treat chyle leakage after total thyroidectomy and neck dissection. Read More

View Article
October 2018
2 Reads

Chyle fistula as complication of thyroid surgery in malignant pathology.

Endocrinol Diabetes Nutr 2018 Oct 8. Epub 2018 Oct 8.

Departamento de Cirugía, Pediatría y Obstetricia, y Ginecología, Universidad de Murcia, Murcia, España; Servicio de Cirugía General y de Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, España; Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), Murcia, España.

Introduction: Cervical chyle fistula (CF) is exceptional, and there is no agreement on its treatment. The study objective was to assess the efficacy of conservative and surgical treatment in this condition.

Method: Study population: Patients undergoing thyroid surgery who experience CF after the procedure. Read More

View Article
October 2018
9 Reads

Chylothorax in Patients with Chronic Lymphocytic Leukemia: A Case Series.

J Hematol (Brossard) 2018 Jan;7(1):14-18

Department of Medicine Hofstra Northwell School of Medicine, New Hyde Park, NY, USA.

Chylothorax, which is defined as the presence of chyle in the pleural space, is often caused by malignancy. However, chylothorax as a result of underlying CLL is exceedingly rare in the literature. Chyle contains fat soluble vitamins and lymphocytes, meaning that its collection into the pleural space may further exacerbate the immunosupressed state of an individual with CLL. Read More

View Article
January 2018
1 Read

Comparison of short-term outcomes between minimally invasive McKeown and Ivor Lewis esophagectomy for esophageal or junctional cancer: a systematic review and meta-analysis.

Onco Targets Ther 2018 20;11:6057-6069. Epub 2018 Sep 20.

Department of Thoracic Surgery, Chinese PLA General Hospital, Beijing, People's Republic of China,

Purpose: Minimally invasive esophagectomy is increasingly performed for esophageal or gastroesophageal junctional cancer, with advantages of improved perioperative outcomes in comparison with open esophagectomy. McKeown and Ivor Lewis are widely used procedures of minimally invasive esophagectomy, and there have been controversies on which one is preferred for patients with resectable esophageal or junctional cancer.

Patients And Methods: This review was registered at the International Prospective Register of Systematic Reviews (number CRD42017075989). Read More

View Article
September 2018
2 Reads

Laparoscopic Management of Chylous Leakage Using a Direct Lymph Node Injection with Methylene Blue as a Leakage Point Location Strategy in a Patient with Retroperitoneal Extragonadal Seminoma.

J Endourol Case Rep 2018 20;4(1):149-151. Epub 2018 Sep 20.

Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.

The first-line treatment in cases of chylous leakage is conservative, and operation should be considered only in patients who fail to respond to this treatment. The main clinical concern is the difficulty of intraoperative localization of the site of leakage that can affect surgical outcome. A 33-year-old man presented with a 4-month history of abdominal pain and weight loss. Read More

View Article
September 2018
1 Read

Chyluria: A rare initial manifestation of disseminated tuberculosis.

Int J Mycobacteriol 2018 Jul-Sep;7(3):282-284

Department of Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Chyluria is described as passage of chyle in the urine. It results from the formation of lymphaticorenal fistulae due to various etiologies. The most common implicated cause is filariasis especially in endemic areas. Read More

View Article
September 2018
9 Reads

Clinical analysis of minimally invasive McKeown esophagectomy in a single center by a single medical group.

J Zhejiang Univ Sci B 2018 Sept.;19(9):718-725

Department of Thoracic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.

Objective: McKeown esophagectomy followed by cervical and abdominal procedures has been commonly used for invasive esophageal carcinoma. This minimally-invasive operative procedure in the lateral prone position has been considered to be the most appropriate method. We describe our experiences in minimally invasive McKeown esophagectomy (MIME) for esophageal cancer. Read More

View Article
September 2018

Surgical outcomes of thyroid cancer patients in a tertiary cancer center in India.

Indian J Cancer 2018 Jan-Mar;55(1):23-32

Department of Head and Neck Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Background: Surgery is the mainstay in the management of thyroid cancer. Surgical outcomes need to be tempered against the excellent prognosis of the disease.

Aims: This study aims to study the surgical outcomes including the 30-day morbidity and 5-year survival of thyroid cancer patients. Read More

View Article
November 2018
19 Reads

Early outcomes of two-stage minimally invasive oesophagectomy in an Australian institution.

ANZ J Surg 2018 Aug 17. Epub 2018 Aug 17.

Department of General Surgery, Fremantle Hospital and Fiona Stanley Hospital, Perth, Western Australia, Australia.

Background: Minimally invasive oesophagectomy (MIO) has a steep learning curve. We report our outcomes of a standardized 25 mm circular-stapled anastomosis using a trans-orally placed anvil (Orvil™). The objective of this study is to report the initial experience of introducing two-stage MIO to an Australian tertiary health service. Read More

View Article
August 2018
7 Reads

Chylous-Related Complications Following Surgical Management of Clavicular Fractures: A Report of Two Cases.

JBJS Case Connect 2018 Jul-Sep;8(3):e61

Departments of Orthopaedics (C.D., M.D., and H.M.), and Radiology (D.O'N. and M.L.), Beaumont Hospital, Dublin, Ireland.

Case: We treated 2 patients with chylous-related complications following open reduction and internal fixation (ORIF) of the clavicle. These complications were of unknown etiology; 1 was treated with percutaneous injection of a sclerosing agent, while the other was treated with ligation of the thoracic duct.

Conclusion: A chyle leak is more commonly seen with upper gastrointestinal, thoracic, and head and neck surgery. Read More

View Article

Identification of the Thoracic Duct Using Indocyanine Green During Cervical Lymphadenectomy.

Ann Surg Oncol 2018 Nov 3;25(12):3711-3717. Epub 2018 Aug 3.

Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute, Columbus, OH, USA.

Background: Injury to the thoracic duct (TD) is the most common complication after a left lateral neck dissection, and it carries a high degree of morbidity. Currently, no routine diagnostic imaging is used to assist with TD identification intraoperatively. This report describes the first clinical experience with lymphangiography using indocyanine green (ICG) during lateral neck dissections. Read More

View Article
November 2018
1 Read

Novel Lymphatic Imaging and Percutaneous Treatment of Chyluria.

Cardiovasc Intervent Radiol 2018 Dec 31;41(12):1968-1971. Epub 2018 Jul 31.

Hospital of the University of Pennsylvania, Interventional Radiology, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA, USA.

Chyluria is characterized by the presence of chyle in the urine and often presents clinically as urinary obstruction. Traditional treatments include dietary modifications, surgery and sclerotherapy. The recently developed intranodal lymphangiography and dynamic contrast-enhanced MR lymphangiography (DCMRL) provide better imaging of the lymphatic system. Read More

View Article
December 2018
10 Reads

Comparison of postoperative chylothorax in infants and children with trisomy 21 and without dysmorphic syndrome: Is there a difference in clinical outcome?

J Pediatr Surg 2018 Jul 6. Epub 2018 Jul 6.

Department of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Children's Research Center Division, Zurich, Switzerland. Electronic address:

Introduction: Children with trisomy 21 are prone to postoperative chylothorax, caused by malformation of the lymphatic system, after cardiac surgery. The clinical course of patients diagnosed with postoperative chylothorax and trisomy 21 was compared to that of patients without dysmorphic syndromes. Additionally, differences between the groups in composition, amount, and duration of chyle were analyzed to better understand chylothorax in patients with trisomy 21. Read More

View Article

Identification of lymphatic channels in the tracheoesophageal groove during central neck dissection for thyroid cancer.

Head Neck 2018 Sep 26;40(9):E87-E90. Epub 2018 Jul 26.

Department of Otolaryngology - Head and Neck Surgery, Research Institute for Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk, 560-182, Korea.

Background: Chyle leakage after central neck dissection for thyroid carcinoma is an extremely rare condition. We investigated chyle leakage in patients with thyroidectomy and central neck dissection.

Methods: We experienced 3 cases of chyle leakage. Read More

View Article
September 2018

Use of an Alpha-1 Adrenoreceptor Agonist in the Management of Recurrent Refractory Idiopathic Chylothorax.

Chest 2018 Jul;154(1):e1-e4

Department of Thoracic Medicine, Guy's and St Thomas' NHS Foundation Trust, London, England.

A 70-year-old woman presents with recurrent idiopathic chylothorax refractory to both medical and surgical treatment. To our knowledge, this is the first reported case where midodrine, an alpha-1 receptor agonist, was used as an adjunctive therapy for idiopathic chylothorax resulting in both a radiographic and clinical response. Read More

View Article
July 2018
1 Read

Chyle leak after pancreatic surgery: validation of the International Study Group of Pancreatic Surgery classification.

Surgery 2018 Sep 27;164(3):450-454. Epub 2018 Jun 27.

General and Pancreatic Surgery Unit, Pancreas Institute, University of Verona, Policlinico GB Rossi, Verona, Italy.

Background: Chyle leak is an uncommon complication after pancreatic surgery. The chyle leak incidence, definition, diagnosis, and treatment had been reported heterogeneously so far. Recently a consensus definition and grading system was published by the International Study Group for Pancreatic Surgery. Read More

View Article
September 2018

[Prevention and Surgical Therapy of Chylothorax].

Zentralbl Chir 2018 Jun 22;143(3):278-283. Epub 2018 Jun 22.

Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Freiburg, Medizinische Fakultät, Universität Freiburg, Deutschland.

Background: Chylothorax is a rare complication after thoracic trauma or surgery, especially oesophagectomy, which, if left untreated, can be potentially life-threatening.

Methods: This article provides an overview of the existing literature on the prevention and surgical therapy of chylothorax.

Results: The risk of chyle leakage after oesophagectomy increases with the difficulty of mediastinal dissection and is reported to be around 3% for oesophagectomy. Read More

View Article
June 2018
1.190 Impact Factor

Therapeutic intranodal lymphangiography for refractory chylous ascites complicating acute necrotic pancreatitis.

J Gastrointestin Liver Dis 2018 Jun;27(2):195-197

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

Chylous ascites is a rare complication of acute pancreatitis. However, the incidence of intraperitoneal chyle leakage related to severe pancreatitis may be much higher. This is probably the result of direct damage to the cisterna chyli or its tributaries by pancreatic enzymes. Read More

View Article
June 2018
1 Read

Outcome of Pancreaticoduodenectomy at Low-Volume Centre in Tier-II City of India.

Indian J Surg Oncol 2018 Jun 6;9(2):220-224. Epub 2018 Apr 6.

3Gastroenterology, J N Medical College, KLE University and KLES Dr Prabhakar Kore Hospital & MRC, Belagavi, Karnataka India.

Currently, pancreaticoduodenectomy (PD) is considered a common and feasibly performed surgery for periampullary tumours, but it is still a high-risk surgical procedure with potential morbidity and mortality rates. Previously, it was emphasised for the need of high-volume centres to perform specialised surgery such as PD. The authors have made an attempt to know the relation between low-volume centre and outcomes of PD. Read More

View Article
June 2018
12 Reads

Technical details of video-assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome.

Ann Gastroenterol Surg 2017 Sep 14;1(3):232-237. Epub 2017 Aug 14.

Department of Gastrointestinal Surgery Graduate School of Medicine University of Tokyo Tokyo Japan.

To reduce pulmonary complications after esophagectomy, the transthoracic procedure should be shortened or totally avoided. Transcervical approach assisted by mediastinoscope for the upper mediastinum may be advantageous for this purpose. We carried out video-assisted transcervical mediastinal dissection (VATCMD) as part of totally non-transthoracic radical esophagectomy. Read More

View Article
September 2017
4 Reads

Posterior retroperitoneoscopic thoracic duct ligation: a novel surgical approach.

Surg Endosc 2018 Aug 31;32(8):3732-3737. Epub 2018 May 31.

Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Academic Teaching Hospital of the University of Duisburg-Essen, Henricistrasse 92, 45136, Essen, Germany.

Background: Treatment of postoperative chylothorax can be challenging. Conservative treatment and/or surgical management by means of open or minimally invasive thoracic duct ligation for persistent chylothorax are accepted therapeutic options. We present a new retroperitoneoscopic approach for thoracic duct ligation. Read More

View Article
August 2018
8 Reads

Thoracic Duct Embolization: Analysis of Practice Patterns.

Ann Vasc Surg 2018 Oct 19;52:168-175. Epub 2018 May 19.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, MI.

Background: Thoracic duct embolization (TDE) has become the standard treatment for atraumatic and traumatic chylothoraces. Numerous approaches to embolization including intranodal lymphangiography, transabdominal, and retrograde catheterization of the thoracic duct have become the preferred methods for the treatment of chyle leaks. The purpose of this study was to determine training, treatment techniques, outcomes, and practice patterns of practitioners performing TDE. Read More

View Article
October 2018

A Case of Transudative Chylothorax: A Diagnostic Dilemma.

Cureus 2018 Feb 28;10(2):e2247. Epub 2018 Feb 28.

Pulmonary and Critical Care Medicine, Staten Island University Hospital, Northwell Health.

Chylothorax is a type of pleural effusion characterized by the presence of chyle in the pleural space with triglyceride levels >110 mg/dL or evidence of chylomicrons in pleural fluid. Chylous effusion is typically exudative in nature with lymphocytic predominance. Transudative chylothorax is a rare finding which has been associated with only a limited range of clinical settings. Read More

View Article
February 2018
1 Read

Major complications of minimally invasive Ivor Lewis oesophagectomy using the purse string-stapled anastomotic technique in 215 patients with oesophageal carcinoma.

Interact Cardiovasc Thorac Surg 2018 Nov;27(5):708-713

Department of Thoracic Surgery, 1st Affiliated Hospital of Anhui Medical University, Hefei City, China.

Objectives: The purse string-stapled anastomotic technique is a method for minimally invasive oesophagectomy with intrathoracic anastomosis, in which a purse string is hand sewn without the necessity of specialized devices, such as OrVil and Endo-Stitch. Since this technique was first reported by our surgical team in 2012, several measures in the operation have been refined. Furthermore, there are very few literature reports on the major complications of minimally invasive oesophagectomy with this technique. Read More

View Article
November 2018
2 Reads

Perioperative management and outcomes of minimally invasive esophagectomy: case study of a high-volume tertiary center in Taiwan.

J Thorac Dis 2018 Mar;10(3):1670-1676

Department of Anesthesiology, National Taiwan University Hospital, Taipei.

Background: Mortality and complication rates for surgical esophagectomy remain high despite progress in surgical techniques and perioperative care. Minimally invasive surgery and intraoperative goal-directed fluid management are gaining popularity in Taiwan; however, perioperative complications and short-term outcomes have been rarely reported. In this retrospective study, we analyzed the surgical procedures performed as well as the perioperative outcomes and treatments after esophagectomy in a high-volume medical center in Taiwan. Read More

View Article
March 2018
3 Reads

Successful Management of Chylothorax With Etilefrine: Case Report in 2 Pediatric Patients.

Pediatrics 2018 May;141(5)

Hospital de Emergencias Pediatricas, Lima, Perú; and

Chylothorax is defined as the accumulation of chyle within the pleural space. Originally described in 1917 by Pisek, it is the most common cause of pleural effusion in the neonatal period. The leading cause of chylothorax is laceration of the thoracic duct during surgery, which occurs in 0. Read More

View Article
May 2018
4 Reads

Hounsfield units are a useful predictor of pleural effusion cytological type in dogs but not in cats.

Vet Radiol Ultrasound 2018 Jul 23;59(4):405-411. Epub 2018 Apr 23.

Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California Davis, Davis, CA, 95616.

All categories of pleural effusion subjectively display as soft tissue opacity on computed tomography (CT). Quantitative measurement using Hounsfield units (HU) has the potential to bring additional information regarding the nature of the fluid in a noninvasive way. The purposes of this retrospective cross-sectional analytical study were to compare Hounsfield units of different pleural effusion categories in dogs and cats, assess association between specific cytologic parameters and Hounsfield units, and evaluate the effect of dependent vs. Read More

View Article

Chyle leak following an axillary sentinel lymph node biopsy for breast cancer in a patient with superior vena caval thrombosis - a case report and review of the literature.

Ann R Coll Surg Engl 2018 Jul 16;100(6):e147-e149. Epub 2018 Apr 16.

Department of Surgery, New Cross Hospital, Royal Wolverhampton NHS Trust , Wolverhampton, West Midlands , UK.

Chyle leak is a very rare complication following an axillary lymph node dissection. We report a case of chyle leak following sentinel lymph node biopsy in a patient with breast cancer with superior vena caval thrombosis. To our knowledge, this is the first case report of chyle leakage following axillary sentinel lymph node biopsy. Read More

View Article
July 2018
4 Reads

[A Case of Successful Management of Postoperative Chylous Ascites by Combination Therapy with Octreotide and Etilefrine].

Gan To Kagaku Ryoho 2018 Mar;45(3):572-574

Dept. of Surgery, Osaka Rosai Hospital.

We have report a case of an 81-year-old woman who underwent distal pancreatectomy for pancreatic body cancer. Chy- lous ascites with high triglyceride(TG)level, 201mg/dL, occurred on postoperative day 2. Continuous drainage and conservative management, such as low fat diet, fasting, total parental nutrition, and octreotide monotherapy, could not resolve the problem. Read More

View Article
March 2018
2 Reads

Video-assisted thoracoscopic thoracic duct sealing is inconsistent when performed with a bipolar vessel-sealing device in healthy cats.

Vet Surg 2018 Jun 6;47(S1):O84-O90. Epub 2018 Apr 6.

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California.

Objective: To describe a technique for video-assisted thoracoscopic (VATS) thoracic duct ligation (TDL) in normal cats with a bipolar vessel-sealing device and to assess durability of the seal.

Study Design: Prospective case series.

Animals: Six healthy research cats. Read More

View Article

Transinguinal interstitial (intranodal) lymphatic embolization to treat high-output postoperative lymphocele.

J Vasc Surg Venous Lymphat Disord 2018 05 15;6(3):373-375. Epub 2018 Mar 15.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, Mich. Electronic address:

Postoperative lymphoceles may occur after abdominal or pelvic surgery secondary to disruption of lymphatic channels. First-line therapy includes conservative therapy with medical management and dietary restriction. Despite these measures, some patients may have persistent high-output lymphoceles requiring percutaneous aspiration, drainage, or sclerosis. Read More

View Article
May 2018
9 Reads

Chyluria in young child: a rare presentation.

BMJ Case Rep 2018 Mar 16;2018. Epub 2018 Mar 16.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Chyluria, a chronic manifestation of lymphatic filariasis, is rare in children. Clinicians must have a high index of suspicion to diagnose this condition in children as it mimics nephrotic syndrome. We present an unusual case in which a 7-year-old boy hailing from a filarial endemic region presented with a passage of milky urine, which on evaluation was diagnosed as parasitic chyluria. Read More

View Article
March 2018
2 Reads

Autologous chyle fat grafting for the treatment of hypertrophic scars and scar-related conditions.

Stem Cell Res Ther 2018 Mar 9;9(1):64. Epub 2018 Mar 9.

Department of Burn and Plastic Surgery, the First Affiliated Hospital of Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China.

Background: Scarring is the product of natural restoration, yet its treatment remains challenging. Both collagen and fibroblasts are abnormally abundant in scars, leading to scar hyperplasia or contracture. Several clinical studies have reported that wrinkles at the recipient site are reduced, pores are narrowed, pigmentation is decreased, and skin is softened after autologous fat transplantation. Read More

View Article

The anatomy of the thoracic duct at the level of the diaphragm: A cadaver study.

Ann Anat 2018 May 3;217:47-53. Epub 2018 Mar 3.

Department of Anatomy, University Medical Center Utrecht, Universiteitsweg 100, P.O. Box 85060, 3508 AB Utrecht, The Netherlands. Electronic address:

Background: Injury and subsequent leakage of unrecognized thoracic duct tributaries during transthoracic esophagectomy may lead to chylothorax. Therefore, we hypothesized that thoracic duct anatomy at the diaphragm is more complex than currently recognized and aimed to provide a detailed description of the anatomy of the thoracic duct at the diaphragm.

Basic Procedures: The thoracic duct and its tributaries were dissected in 7 (2 male and 5 female) embalmed human cadavers. Read More

View Article
May 2018
5 Reads