3,728 results match your criteria Chylothorax
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
Ann Thorac Surg 2018 Nov 30. Epub 2018 Nov 30.
Department of Surgical Oncology, Shantou Central Hospital, China. Electronic address:
Background: Chylothorax after esophagectomy is uncommon but potentially fatal. We performed a retrospective study to assess the effect of olive oil administered orally before surgery on reducing chylothorax in patients who underwent minimal invasive esophagectomy.
Methods: Between May 2013 and December 2016, patients with esophageal squamous cell cancer who underwent minimal invasive esophagectomy were screened. Read More
Lung 2018 Nov 30. Epub 2018 Nov 30.
Pleural Medicine Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, IRBLleida, Lleida, Spain.
Purpose: Pleural effusion (PEs) may complicate diffuse large B-cell lymphomas (DLBCL). However, their real prevalence and prognostic significance have seldom been approached systematically.
Methods: Retrospective single-center evaluation of consecutive patients with DLBCL was conducted. Read More
J Thorac Dis 2018 Nov;10(Suppl 31):S3686-S3695
Department of General Thoracic Surgery, Catholic University of Sacred Heart, Fondazione Policlinico Universitario "A.Gemelli", Rome, Italy.
Background: Multiportal thoracoscopic approach is already a well standardized procedure for minimally invasive esophagectomy (MIE); conversely very few reports have been published about uniportal video-assisted thoracic surgery (VATS) technique till now. We present our preliminary experience with uniportal VATS esophagectomy, evaluating short-term outcomes as perioperative mortality, complications, oncological radicality, postoperative pain and cosmetic results.
Methods: From December 2016 to November 2017, the prospectively collected clinical data of 12 patients, who underwent uniportal VATS esophagectomy and reconstruction with a stomach conduit, according to McKeown technique, were reviewed and outcomes evaluated. Read More
Zhonghua Yi Xue Yi Chuan Xue Za Zhi 2018 Dec;35(6):844-847
Department of Rheumatology and Immunology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518038, China.
Objective: To explore the clinical phenotype, genetic variant, treatment and prognosis of a child with mosaic variegated aneuploidy syndrome (MVAS).
Methods: Immunological marker screening, chromosomal karyotyping and whole exome sequencing were carried out.
Results: The 1-year-11-month old girl has featured severe growth retardation, feeding difficulty, short stature, microcephaly, facial anomalies, scoliosis, visual impairment, hypotonia, chylothorax, and renal lesions. Read More
Europace 2018 Nov 23. Epub 2018 Nov 23.
Department of Cardiology, Medical University, Lublin, Poland.
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
Am Surg 2018 Sep;84(9):e360-e361
Am Surg 2018 Sep;84(9):e357-e359
Pneumologie 2018 Dec 19;72(12):851-854. Epub 2018 Nov 19.
Thoraxchirurgische Abteilung des LungenZentrums Saar, SHG-Kliniken, Völklingen.
An 82-year-old male patient presented with a left-sided spontaneous chylothorax. A computed tomographic scan of the chest revealed a cystic tumor in the right upper anterior mediastinum and nodules in the left mediastinum that we interpreted as enlarged lymph nodes. On suspicion of lymphoma and for therapy of chylothorax, we performed a left-sided thoracotomy. Read More
Kyobu Geka 2018 Nov;71(12):1052-1055
Department of Chest Surgery, Nagano Municipal Hospital, Nagano, Japan.
Chylothorax after pulmonary resection is diagnosed usually within a few days after surgery, hence late-onset chylothorax is relatively rare complication. A 79-year-old woman underwent right upper lobectomy and mediastinal dissection for lung cancer. A chest tube was removed on postoperative day (POD)3, and she was discharged on POD 8. Read More
Ann Thorac Surg 2018 Nov 13. Epub 2018 Nov 13.
Post-operative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output chylothorax, for whom early surgical thoracic duct ligation has advocated to minimize morbidity and mortality. Herein, we reported the left uniportal thoracoscopic closure of persistent high-output chylothorax via the Poirier's triangle in a patient undergoing thoracoscopic thymectomy. Read More
Rozhl Chir 2018 ;97(7):328-334
Introduction: Chylothorax after esophageal resection is an uncommon but serious complication with a reported incidence of 1-10%. It occurs after the injury of the thoracic duct or its tributaries. Chylothorax may cause an overall loss of several liters per day and may lead to dehydration, malnutrition and immunosuppression. Read More
Korean J Thorac Cardiovasc Surg 2018 Oct 5;51(5):344-349. Epub 2018 Oct 5.
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea.
Background: We report our surgical technique for nonintubated uniportal video-assisted thoracoscopic surgery (VATS) pulmonary resection and early postoperative outcomes at a single center.
Methods: Between January and July 2017, 40 consecutive patients underwent nonintubated uniportal VATS pulmonary resection. Multilevel intercostal nerve block was performed using local anesthesia in all patients, and an intrathoracic vagal blockade was performed in 35 patients (87. Read More
Respir Med Case Rep 2018 25;25:318-322. Epub 2018 Oct 25.
Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, College of Medicine, Gainesville, FL, United States.
Pleural effusions occur in up to 70% of cases of malignant pleural mesothelioma (MPM). However, MPM rarely presents as a chylous effusion making it a diagnostic challenge. There are only six reported cases to date. Read More
Semin Thorac Cardiovasc Surg 2018 Nov 2. Epub 2018 Nov 2.
Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Only few studies have reported long-term outcome of the transatrial-transpulmonary approach in the current era of management of tetralogy of Fallot (ToF). We investigated 15-year outcome of correction via a transatrial-transpulmonary approach in a large cohort of successive patients operated in the 21st century. All infant ToF patients undergoing transatrial-transpulmonary ToF correction between 2000 and 2015 were included (N = 177, 106 male, median follow-up 7. Read More
Gan To Kagaku Ryoho 2018 Oct;45(10):1449-1451
Respiratory Division, Dept. of Internal Medicine, Itami City Hospital.
Chylothorax has been reported to be caused by accidental injuries in half of all cases in Japan, and < 10% of these cases have been associated with malignant tumors, including lymphoma. Chylothorax is a rare complication of gastric carcinoma. We successfully treated a 58-year-old man with gastric carcinoma, chylothorax, and ascites using a combination of talc pleurodesis and a lipid-limited diet. Read More
Vet Surg 2018 Oct 30. Epub 2018 Oct 30.
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California.
Objective: To evaluate the long-term outcome of video-assisted thoracoscopic (VATS) thoracic duct ligation (TDL) and pericardectomy for treatment of chylothorax in dogs.
Study Design: Multi-institutional retrospective study.
Animals: Thirty-nine client-owned dogs. Read More
Ann Card Anaesth 2018 Oct-Dec;21(4):468-469
Department of Cardiac Anaesthesia; Department of Cardiac Surgery, Nawaloka Hospitals PVT Ltd., Colombo, Sri Lanka.
Ann Card Anaesth 2018 Oct-Dec;21(4):468
Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki, Greece.
Thorac Cancer 2018 Dec 16;9(12):1741-1753. Epub 2018 Oct 16.
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Background: The study was conducted to demonstrate the predictive value of body surface area (BSA) for chylothorax complicating video-assisted thoracoscopic surgery (VATS) lobectomy for non-small cell lung cancer (NSCLC).
Methods: Large-scale retrospective analysis was conducted on the data of 1379 patients who underwent VATS lobectomy between January 2014 and October 2017 at our institution. Receiver operating characteristic analysis was conducted to determine a threshold BSA value for the prediction of chylothorax. Read More
Zentralbl Chir 2018 Oct 15. Epub 2018 Oct 15.
Klinik für Thoraxchirurgie, REGIOMED Kliniken GmbH, Sonneberg/Coburg, Deutschland.
Background: Chylothorax is a multifactorial complication, usually caused by surgery or traumatic injury, and more rarely by malignant disease. Because of the lack of prospective, randomised trials, the evidence-based treatment rests upon personal experience, but ideally taking into account retrospective analysis.
Material And Methods: The aim of this review is to provide a comprehensive overview of the currently available modern treatment options. Read More
Kyobu Geka 2018 Sep;71(10):759-762
Division of Chest Surgery, Department of Surgery, Toho University School of Medicine, Tokyo, Japan.
While the recent emergence of energy-based surgical techniques and soft coagulation has made surgical procedures less invasive, the safety and proper use of such advances have yet to be investigated. Herein we review the experimental and clinical use of ultrasonically-activated coagulating shears, a vessel sealing system, incorporating ultrasonic and vessel sealing technology, and a soft coagulation system in thoracic surgery. All energy devices have been reported to be safe for use on pulmonary vessels, and use in combination with a ligature appears to be adequate. Read More
Kyobu Geka 2018 Sep;71(10):747-754
Department of Diagnostic Radiology, Tohoku University, School of Medicine, Sendai, Japan.
Recent introduction of multidetector-row computed tomography(MDCT) with more than 64 scanners enabled high-speed scanning in wide range of the body. Electrocardiogram (ECG) gated scanning and 4-dimensional imaging provides precise evaluation of cardiac and vascular diseases. Fine vascular structures such as the artery of Adamkiewicz can be visualized due to improved spatial and temporal resolution of CT and magnetic resonance imaging(MRI). Read More
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
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
Fetal Diagn Ther 2018 Oct 3:1-7. Epub 2018 Oct 3.
Department of Obstetrics and Gynecology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Background: The treatment options for fetal chylothorax include thoracocentesis, thoracoamniotic shunting, and pleurodesis using OK-432. Knowledge on the long-term outcomes after treatment with OK-432 is limited.
Objective: The aim of this study was to assess the long-term outcomes of children treated in utero with OK-432. Read More
J Surg Res 2018 Nov 29;231:361-365. Epub 2018 Jun 29.
Division of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan; Fetal Diagnosis and Treatment Center, University of Michigan, Ann Arbor, Michigan.
Background: Congenital chylothorax (CC) can have devastating consequences for neonates. We sought to determine the outcomes of cases treated at our institution and evaluate the role of fetal intervention.
Materials And Methods: With Institutional Review Board approval, patients treated at our institution 09/2006-04/2016 with CC were reviewed. Read More
Am Surg 2018 Sep;84(9):e357-e359
Zhonghua Wei Chang Wai Ke Za Zhi 2018 Sep;21(9):1001-1007
Department of Thoracic-Cardio Surgery, Drum Tower Clinical Medicine College Affiliated to Nanjing Medical University, Nanjing 210008, China
Objective: To explore the impact of the gastric tube diameter on quality of life of esophagus cancer patients after Ivor-Lewis esophagectomy.
Methods: Clinical and follow-up data of 188 esophageal cancer patients who underwent Ivor-Lewis esophagectomy at Department of Cardio-Thoracic Surgery, Drum Tower Clinical Medicine College, Nanjing Medical University from January 2015 to June 2016 were retrospectively analyzed. Inclusion criteria included age <75 years old, good foundation health situation, no distant metastasis, complete follow-up data for one-year after surgery, and middle-lower esophageal squamous cell carcinoma (ESCC). Read More
Zhonghua Wei Chang Wai Ke Za Zhi 2018 Sep;21(9):987-994
Department of Thoracic Surgery, National Cancer Center, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Esophageal squamous cancer is a malignancy with high incidence and mortality. Surgery currently remains the most important part of the comprehensive treatments. The number of metastatic lymph node has great influence on the prognosis of esophageal cancer, so thorough lymphadenectomy also becomes a key factor. Read More
Thorac Surg Clin 2018 Nov;28(4):567-571
Thoracic Surgery Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA. Electronic address:
Intraoperative fluorescence imaging (FI) with indocyanine green has several potential uses during esophagectomy. Intravascular injection for enhancing the visualization of conduit vascularity and assessing macro and microperfusion has the most literature support and may help reduce anastomotic leaks. Peritumoral injection has been reported for use in identifying sentinel nodes during lymphadenectomy and intralymphatic injection may be used to help preserve or ligate the thoracic duct. Read More
Ann Surg Oncol 2018 Sep 25. Epub 2018 Sep 25.
Department of Gastroenterological Surgery, Toranomon Hospital, and Okinaka Memorial Institute for Medical Research, Tokyo, Japan.
Lymphology 2018 ;51(1):18-27
Department of Surgery, University of Arizona College of Medicine, Tucson, Arizona USA.
Gorham-Stout disease - also known as "disappearing bone disease" is currently considered a single entity with varying clinical manifestations. We reviewed the existent literature from the earliest historic description(Jackson in 1838) and Gorham and Stout's original series of patients, multiple case reports and series since. After analyzing 212 reported cases, we identified 76 cases with details that recorded either a history of multifocal disease or an identifiable history of preceding trauma. Read More
Am J Respir Crit Care Med 2018 Sep 21. Epub 2018 Sep 21.
Tohoku University, Department of Respiratory Medicine, Sendai, Japan.
J Thorac Dis 2018 Aug;10(8):E639-E642
Department of Thoracic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
Pediatr Qual Saf 2018 May-Jun;3(3):e080. Epub 2018 May 18.
Division of Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Introduction: Feeding difficulties and malnutrition are important challenges when caring for newborns with critical congenital heart disease (CCHD) without clear available guidelines for providers. This study describes the utilization of a feeding protocol with the focus on standardization, feeding modality, and total parenteral nutrition (TPN) utilization postoperatively.
Methods: Patients included neonates with CCHD undergoing complex biventricular repair using cardiopulmonary bypass. Read More
World J Pediatr 2018 Sep 14. Epub 2018 Sep 14.
Neonatal Intensive Care Unit, Neonatal Emergency Transport Service, Department of Intensive Care, IRCCS Gaslini, Largo G. Gaslini 5, 16147, Genoa, Italy.
J Am Vet Med Assoc 2018 Oct;253(7):886-892
OBJECTIVE To determine the incidence of chyloabdomen diagnosis in cats and dogs and characterize and compare between species the corresponding clinical signs, clinicopathologic test results, and outcomes. DESIGN Retrospective case series. ANIMALS 36 cats and 17 dogs in which chyloabdomen was diagnosed at a veterinary teaching hospital between 1984 and 2014. Read More
J Cardiothorac Surg 2018 Sep 11;13(1):93. Epub 2018 Sep 11.
Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94305, USA.
Background: Yellow nail syndrome is a rare condition considered secondary to functional anomalies of lymphatic drainage. Yellow nail syndrome is diagnosed through the triad of intrathoracic findings (30% being pleural effusions), nail discoloration, and lymphedema, with any two features sufficient for diagnosis. We report the second case of post-operative yellow nail syndrome. Read More
ANZ J Surg 2018 Sep 7. Epub 2018 Sep 7.
Department of Intensive Care Unit, Hospital of the University of Electronic Science and Technology of China, Sichuan Provincial People's Hospital, Chengdu, China.
Intractable Rare Dis Res 2018 Aug;7(3):200-203
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Spontaneous bilateral chylothorax and chylous ascites rarely develop in conjunction with systemic venous thrombosis, and the most common cause of non-traumatic chylous effusion is a malignancy. A 23-year-old immunocompetent female presented with a fever of 5 months' duration associated with progressive shortness of breath and abdominal distension. Evaluation revealed bilateral chylothorax, chylous ascites, and multiple venous thrombosis. Read More
Gen Thorac Cardiovasc Surg 2018 Sep 1. Epub 2018 Sep 1.
Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, Niigata, 951-8510, Japan.
Objectives: To aim of this study was to clarify the safety of simultaneous thoracic aortic endografting and combined resection of the aortic wall and thoracic malignancy in a one-stage procedure over the early and mid-term periods.
Methods: From March 2013 to December 2017, 6 patients underwent aortic endografting followed by one-stage en bloc resection of the tumor and aortic wall. Thoracic surgeons and cardiovascular surgeons discussed predicted tumor invasion range and resection site, stent placement position, stent length and size, and the surgical procedure, taking into account the safe margin. Read More
Ann Thorac Surg 2018 Nov 29;106(5):1414-1420. Epub 2018 Aug 29.
Department of Cardiac Surgery, The Royal Children's Hospital Melbourne, Parkville, Australia; Department of Pediatrics, University of Melbourne, Parkville, Australia; Murdoch Childrens Research Institute, Parkville, Australia. Electronic address:
Background: Chylothorax is a rare but severe complication after pediatric cardiac surgical procedures and is related to significant morbidity and mortality. It is suspected to be more frequent after single-ventricle staged palliation procedures, but focused studies on chylothorax in patients with univentricular heart physiology are scarce.
Methods: From January 2008 to December 2016, a total of 289 patients underwent 376 cavopulmonary connection (CPC) procedures over 9 years (superior cavopulmonary connection [SCPC], 199; Fontan completion, 177). Read More
Tumori 2018 Aug 29:300891618791956. Epub 2018 Aug 29.
1 Department of Thoracic Surgery, Nancy Regional University Hospital, Nancy, France.
Introduction: Pseudochylothorax is a rare cause of pleural effusion. Sometimes confounded with chylothorax, firm diagnosis relies on analysis of the pleural liquid: exudative liquid (protein >30 g/L, lactate dehydrogenase >200 UI/L) with a high level of cholesterol (usually >200 mg/dL), low level of triglyceride (usually <110 mg/dL), cholesterol total/triglyceride ratio >1, absence of chylomicron, and in some cases the presence of cholesterol crystals. Pseudochylothorax is secondary to tuberculosis and rheumatoid arthritis in nearly 90% of cases. Read More
Zhonghua Wai Ke Za Zhi 2018 Sep;56(9):706-711
Department of Thoracic Surgery, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China.
To investigate the feasibility, safety, short-term efficacy and long-term efficacy of elective lymph node dissection in patients with early esophageal cancer. The study retrospectively evaluated 405 patients with cT1N0M0 esophageal carcinoma who received minimally invasive esophagectomy in the First Affiliated Hospital of University of Science and Technology of China between March 2007 and March 2013. Of those patients, 208 patients underwent systematic lymph node dissection (SLND) and 197 patients underwent elective lymph node dissection (ELND). Read More
J Vasc Surg Cases Innov Tech 2018 Sep 17;4(3):193-196. Epub 2018 Aug 17.
Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Michigan Medicine, Ann Arbor, Mich.
A chylothorax may be due to either direct trauma or occlusion of the thoracic duct. Treatments include antegrade or retrograde glue and coil embolization as well as thoracic duct stent graft placement. This report describes a patient with chylothorax secondary to venous outflow occlusion. Read More
Zhonghua Fu Chan Ke Za Zhi 2018 Aug;53(8):522-527
Department of Fetal Medicine, Guangdong Women and Children Hospital, Guangzhou 511440, China.
To investigate the effect of intrauterine intervention on severe primary fetal hydrothorax. Twelve cases with severe fetal primary hydrothorax who underwent prenatal intervention from January 2014 to December 2017 in Guangdong Women and Children Hospital were retrospectively reviewed. The median gestational age of prenatal diagnosis was 30. Read More
Cureus 2018 Jun 17;10(6):e2819. Epub 2018 Jun 17.
Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, SGP.
We report a rare case of a lung adenocarcinoma presenting with chylothorax and metastases to the common bile duct and the rectum. From the radiological and endoscopic appearance of the tumors, the main differential diagnoses were metastatic lung cancer to multiple rare extra-thoracic sites and multiple synchronous primary oncological malignancies. Pathological examination of the biopsies with positive immunohistochemical staining for thyroid transcription factor-1 (TTF-1) played an important role in confirming metastatic pulmonary adenocarcinoma. Read More
Neonatology 2018 17;114(4):337-340. Epub 2018 Aug 17.
Division of Pediatric Clinical Genetics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
A late-preterm infant with a prenatal diagnosis of non-immune hydrops was born with hypotonia, poor respiratory effort, chylothorax, encephalopathy, coagulopathy, progressive hepatic failure, and refractory pulmonary hypertension. Life support was withdrawn at 7 days of life due to multisystem organ failure. Rapid whole exome sequencing revealed novel compound heterozygous mutations in the gene encoding S-adenosylhomocysteine hydrolase (AHCY); each novel variant was carried by an asymptomatic parent. Read More