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Modified Blood Patch Used to Treat a High Output Chyle Leak After McKeown Esophagectomy.

改良血液补片用于治疗McKeown食管切除术后高排出量乳糜漏。

  • 影响因子:1.80
  • DOI:10.1016/j.athoracsur.2019.09.090
  • 作者列表:"Sesti J","Luker J","Decker J","Paul S
  • 发表时间:2020-06-01
Abstract

:Chyle leaks after esophagectomy are associated with significant morbidity and mortality. High-output fistulas are particularly difficult to manage, as the likelihood of spontaneous closure with conservative management is low. Leaks that fail to resolve with conservative management are referred for thoracic duct ligation or embolization. Some patients, however, are not candidates for these procedures or have persistent output despite intervention. We report a case of a post-McKeown esophagectomy patient with a high-output chyle leak despite intraoperative thoracic duct ligation. Treatment was successful with a modified blood patch through a neck drain.

摘要

: 食管切除术后乳糜漏与显著的发病率和死亡率相关。高输出量瘘管特别难以处理,因为采用保守处理的自发闭合的可能性低。保守治疗未能解决的泄漏可用于胸导管结扎或栓塞。然而,一些患者不是这些程序的候选者,或者尽管进行了干预,仍具有持续的输出。我们报告一例McKeown术后食管切除术患者,尽管术中胸导管结扎,仍有高排出量乳糜漏。通过颈部引流管使用改良的血液贴片治疗成功。

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影响因子:6.93
发表时间:2020-01-01
DOI:10.1002/ijc.32419
作者列表:["Milosevic V","Kopecka J","Salaroglio IC","Libener R","Napoli F","Izzo S","Orecchia S","Ananthanarayanan P","Bironzo P","Grosso F","Tabbò F","Comunanza V","Alexa-Stratulat T","Bussolino F","Righi L","Novello S","Scagliotti GV","Riganti C"]

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发表时间:2020-01-01
DOI:10.1016/j.jiph.2019.05.013
作者列表:["Nishimura A","Yamaguchi H","Ito Y","Tokumoto S","Toyoshima D","Kasai M","Maruyama A"]

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胸膜疾病方向

胸膜疾病包括原发于胸膜的疾病,主要指胸膜间皮瘤,也包括胸膜腔内的异常情况,如脓胸、 血胸、胸腔积液等。

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