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. 2016 Oct 18;45:52. doi: 10.1186/s40463-016-0166-y

Table 2.

Symptoms, diagnostics and treatment of chylothorax

Author, Year Case no. Postoperative
Symptoms
Side of Chylothorax Cervical Chyle Leak (Side) POD of Chylothorax Imaging (Thorax) Treatment
Thorax drain Duration of drainage (days) Dietc Surgical Revision
Har-El, 1985 [27] 1 dyspnea, chest pain Bilat. no 3 X Righta <1 yes no
Jabbar,1995 [7] 2 dyspnea, chest pain Bilat. no 4 X Bilat. <1 no no
Lifante, 2007 [17] 3 N/A N/A N/A N/A N/A RS N/A N/A yes
4 N/A N/A N/A N/A N/A RS N/A N/A no
Bae, 2007 [25] 5 dyspnea, chest discomfort Bilat. no 7 X + CT Bilat. N/A yes no
6 dyspnea Bilat. no 3 X + CT Bilat. 3 yes no
Tsukahara, 2007 [22] 7 dyspnea Bilat. no 2 X Bilat. 2 yes no
Roh, 2007 [15] 8 N/A Bilat. yes (Left) 25 N/A Bilat. 20 yes yesd
Paliogiannis, 2009 [16] 9 N/A Left N/A N/A N/A Left 20 yes no
10 N/A Left N/A N/A N/A Left N/A N/A yes
Han, 2009 [20] 11 dyspnea, chest pain Bilat. no 8 X Lefta 5 yes no
Khurana, 2009 [23] 12 dyspnea, chest discomfort Bilat. no 1 X Bilat. 9 yes yese
Tallón-Aguilar, 2010 [26] 13 dyspnea Bilat. N/A 3 X Lefta N/A yes yesf
Li,2013 [12] 14 chest discomfort Bilat. yes (N/A) 2 N/A Bilat. N/A yes no
15 dyspnea, chest discomfort Bilat. yes (N/A) 8 N/A Bilat. N/A yes no
Tian, 2012 [13]
Li, 2013 [12]
16g chest discomfort Bilat. yes (Left) 2 X Bilat. 15 yes yes
17g dyspnea, chest discomfort Left no 4 X Left 4 yes no
18g dyspnea, chest discomfort Bilat. yes (N/A) 3 US Bilat. 7 yes no
Runge, 2014 [21] 19 dyspnea, chest discomfort Bilat. no 2 CT Bilat. 7 yesb yese,f
Our case 20 dyspnea, abdominal pain Bilat. yes (Left) 3 CT Bilat. 17 yes no

Bilat. bilateral; X standard X-ray; CT computertomography; N/A not available; POD postoperative day; RS retrosternal; US ultrasound

aunilateral thoracic drainage, but bilateral chylothorax described

bpatient received additionally octreotide administration

cconsisting of enteral diet rich in medium-chain triglycerides and/or total parenteral nutrition

dgelfoam packing, fistula ligation and pectoralis major muscle flap transfer

ewound exploration without identification of leak site

fthoracic duct ligation +/− sealing with biological glue

g3 cases of Li 2013 [12] were previously published as case reports in Tian 2012 [13]