Thoracoscopic ultrasonic coagulation of thoracic duct in management of postoperative chylothorax Sadanori Takeo, MD, Koji Yamazaki, MD, Mikako Takagi,

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Presentation transcript:

Thoracoscopic ultrasonic coagulation of thoracic duct in management of postoperative chylothorax Sadanori Takeo, MD, Koji Yamazaki, MD, Mikako Takagi, MD, Atsuhiro Nakashima, MD The Annals of Thoracic Surgery Volume 74, Issue 1, Pages 263-265 (July 2002) DOI: 10.1016/S0003-4975(02)03463-X

Fig 1 Arrangement of thoracoscopic ports and surgical instruments used to approach the thoracic duct through the right chest. The Annals of Thoracic Surgery 2002 74, 263-265DOI: (10.1016/S0003-4975(02)03463-X)

Fig 2 Vigorous flowing of chylous fluid can be observed from the cut edge under direct vision during thoracoscopy. The cut was on the right distal side of where the descending aneurysm was replaced with a synthetic graft for dissecting aneurysm. It was difficult to exfoliate and clip this thoracic duct at the edge because of severe adhesion to surrounding tissues. The Annals of Thoracic Surgery 2002 74, 263-265DOI: (10.1016/S0003-4975(02)03463-X)

Fig 3 Cut edge of thoracic duct was coagulated using Autosonix without clipping. Chylous fluid disappeared completely. The Annals of Thoracic Surgery 2002 74, 263-265DOI: (10.1016/S0003-4975(02)03463-X)