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Ann Thorac Surg 2008;85:334-336. doi:10.1016/j.athoracsur.2007.04.109
© 2008 The Society of Thoracic Surgeons
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Kemp H. Kernstine
Frederic W. Grannis, Jr
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Case Reports

Treatment of Chylothorax by Robotic Thoracic Duct Ligation

Kari J. Thompson, MD, Kemp H. Kernstine, MD, PhD*, Frederic W. Grannis, Jr, MD, Pablo Mojica, MD, Andres Falabella, MD

City of Hope, Duarte, California

Accepted for publication April 26, 2007.

* Address correspondence to Dr Kernstine, City of Hope, 1500 East Duarte Rd, Duarte, CA 91010 (Email: kkernstine{at}coh.org).

This is the first report describing the use of robotic technology for the treatment of chylothorax. We present a 22-year-old with mixed embryonal cell and seminoma germ cell cancer refractory to medical and surgical treatment. The patient had rising markers and a growing left lower lung lobe metastasis. After left lower lobectomy, left-sided chylothorax developed. Conservative management failed, and a robotic right-sided thoracic duct ligation was performed. Other treatment options are reviewed.






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