胸腔镜治疗食管癌术后乳糜胸

目的：探讨胸腔镜手术在食管癌手术后乳糜胸治疗中的作用。方法2012年1月至2013年12月，应用胸腔镜经右胸入路行胸导管结扎治疗食管癌术后并发乳糜胸16例。结果16例患者均在胸腔镜下完成手术。手术时间40～90 min，平均65 min。术后引流时间4～9天，平均引流时间5．5天。术后无严重并发症，随访6个月无复发。结论胸腔镜治疗食管癌术后乳糜胸是一种安全、有效的治疗方法。手术后并发乳糜胸应尽早行胸腔镜手术干预，有助于患者的早日康复，减少住院时间。

Video-assisted thoracic surgery in the treatment of chylothorax after thoracic esophagectomy

Objective To evaluate the effect of video-assisted thoracic surgery （VATS）in the treatment of chylothorax after thoracic esophagectomy. Method From Jan. 2012 to Dec. 2013,16 cases of chylothorax after thoracic esophagectomy were treated by thoracic duct ligation under VATS through the right thorax approach. Results All the patients were operated by thoracic duct ligation under VATS. The duration of operation time ranged from 40 to 90 minutes,with average operating time 65 minutes. The postoperative drainage time ranged from 4 to 9 days,with mean drainage time 5. 5 days. No serious complications and recurrences occurred during postoperative follow-up 6 months later. Conclusion VATS is a safe and effective method for the treatment of postoperative chylothorax. Concurrent chylothorax after surgery should apply VATS as operative intervention as soon as possible,which can help patients recover at an early stage and reduce hospital stay.