ISSN: 1859 - 2872
Initial results of thoracic duct embolization treatment for chylothorax after general thoracic surgery
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Abstract
Objective: To report the results of percutaneous thoracic duct embolization (TDE) treatment for chylothorax in patients post operation of organs in thoracic cavity. Subject and method: A retrospective review of 21 patients with chylous leak post operation in thoracic cavity after failed conservative treatment. All patient were undergone intranodal lymphagiography then TDE at Hanoi Medical University Hospital from 4/2018 to 12/2022. Result: Twenty-one patients with chylothorax through drainage from 70 to 3000ml/day during average 5 weeks (1 week to 9 months). Catheterization of the TD and TDE was successful in 19/21 patients (90.5%), 1 patient undergone TDD only, 1 patient undergone TDD and TD sclerosis injection under CT scanner guidance. All patients had clinical successful with no chylorrhea after intervention. No major complication was noted, two patients (9.5%) experienced chronic diarrhea post TDE. All patients were discharged in following weeks after intervention. Conclusion: TDE is minimal invasive and effective treatment for chylothorax post operation of thoracic cavity.
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References
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