イシダ　ヒロノリ   ISHIDA HIRONORI   石田　博徳    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   教授
論文種別	学術雑誌(症例報告)
言語種別	英語
査読の有無	査読あり
表題	Chylothorax associated with lymphatic reflux in a thoracic duct tributary after lung cancer surgery
掲載誌名	正式名：Thoracic Cancer 略　 称：Thoracic Cancer
掲載区分	国外
巻・号・頁	1-4頁
著者・共著者	Hironori Ishida, Ken Nakazawa, Akitoshi Yanagihara, Tetsuya Umesaki, Ryo Taguchi, Akiko Yamada, Hiroyuki Nitanda, Hirozo Sakaguchi.
発行年月	2021/06/21
概要	Chyle leaks are attributed to damage to the thoracic duct itself or its tributaries during surgery. Chylothorax after lung cancer surgery can occur due to damaged thoracic duct tributaries; however, little is known of the mechanism involved. A 71-year-old female underwent a left upper lobectomy with hilar and mediastinal lymphadenectomy for a 1.8-cm primary squamous cell carcinoma, and developed a chylothorax a day later. Catheter lymphangiography revealed high-flow chyle leaks from a damaged thoracic duct tributary, known as a bronchomediastinal lymph trunk, due to a lymphatic reflex from the thoracic duct. Subsequently, catheter embolization of the tributary repaired the chylothorax. The potential for persistent chylothorax after lung cancer surgery and successful lymphatic intervention should be noted.