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Thoracoscopic management of chylothorax after esophagectomy

C Callari, MD S Perretta, MD, PhD J D'Agostino, MD M Diana, MD, PhD B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Nov 2015;15(11). URL: http://websurg.com/doi/vd01en3068

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  • 2015-11-17
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Chylothorax after esophagectomy is a potentially life-threatening complication, with a reported incidence rate of 1-4% and a mortality rate reaching 30-50% if untreated. Optimal management of chylothorax can decrease mortality. It is based on three options: conservative treatment, surgery and radiological treatment. In case of either high flow rate chylothorax or failure of conservative treatment, reoperation is indicated. Two cases of postoperative chylothorax successfully managed thoracoscopically are reported.