Early operative management of chylothorax by thoracic duct ligation
Mohlala, M.L.; Burrows, R.C.; Mokoena, T.R.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 27(1): 11-12
1989
ISSN/ISBN: 0038-2361 PMID: 2658135 Document Number: 334445
Chylothorax following mediastinal mobilisation for carcinoma of the oesophagus can be devastating, especially in malnourished, debilitated patients. Early surgical management in significant chylothorax (+ 500 ml/d) is suggested before nutritional degeneration occurs. Conservative management should be reserved for those patients who drain less than 500 ml/d.