Uniportal Thoracoscopic Thoracic Duct Clipping In Poirier’s Triangle For Post-operative Chylothorax

Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Francesco Paolo Caronia, Federica Fatica, Damiano Librizzi, Alfonso FiorelliAbstractPost-operative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output chylothorax, for whom early surgical thoracic duct ligation has advocated to minimize morbidity and mortality. Herein, we reported the left uniportal thoracoscopic closure of persistent high-output chylothorax via the Poirier's triangle in a patient undergoing thoracoscopic thymectomy. After resection of pleural adhesions, the mediastinal pleura was resected at the level of the arch of aorta, left subclavian artery, and vertebral column, anatomic limits of Poirier's triangle. The thoracic duct was then isolated from the esophagus and successfully clipped along its path.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research