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Chylothorax after esophagectomy: thoracoscopic sealing of the thoracic duct

B Dallemagne, MD S Perretta, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Apr 2010;10(04). URL: http://websurg.com/doi/vd01en2915

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  • 2010-04-15
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Chylothorax after esophagectomy for cancer is an uncommon, but potentially life-threatening postoperative complication with a reported incidence rate of 1-4%. A high index of suspicion for duct injury must be maintained in all patients after operation. Here we show the case of a 61-year-old man who presented a massive right chylothorax, days after a laparoscopic transhiatal radical esophagectomy for adenocarcinoma of the lower esophagus with preoperative neoadjuvant chemotherapy.