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Ann Thorac Surg 1991;52:306-307
© 1991 The Society of Thoracic Surgeons

Articles

Thoracoscopic diagnosis and treatment of chylothorax after pneumonectomy

Toshizumi Shirai, MD*, Jun Amano, MD, Kazuhiko Takabe, MD

Department of Thoracic and Cardiovascular Surgery and Department of Internal Medicine, Hokushin General Hospital, Nakano, Japan

Accepted for publication December 31, 1990.

* Address reprint requests to Dr Shirai, Department of Cardiothoracic Surgery, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyoku, Tokyo 113, Japan.

Chylothorax after pneumonectomy was treated successfully by selective application of fibrin glue through a thoracoscope. Conservative therapy for 18 days failed to close the fistula. The site of leakage was identified during thoracoscopy, and fibrin glue was applied under direct vision. Leakage decreased immediately and eventually stopped completely. This technique is less invasive than standard surgical treatment and should be considered in all patients with postoperative chylothorax.




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