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]