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Treatment Strategy for Chylothorax after Resection for Lung Cancer——16 Case Report
引用本文:Hongjing Jiang Changli Wang Zhenqing Zhao Xiaolin Li Doliong Qi Liqun Gong. Treatment Strategy for Chylothorax after Resection for Lung Cancer——16 Case Report[J]. 中国肿瘤临床(英文版), 2006, 3(3): 158-161. DOI: 10.1007/s11805-006-0110-4
作者姓名:Hongjing Jiang Changli Wang Zhenqing Zhao Xiaolin Li Doliong Qi Liqun Gong
作者单位:Hongjing Jiang Changli Wang Zhenqing Zhao Xiaolin Li Daliang Qi Liqun GongDepartment of Thoracic Surgery,Tianjin Medical University Cancer Insti-tute and Hospital,Tianjin 300060,China.
摘    要:With the indication for lung cancer surgery and increasing com- mon systematic lymph node dissection, there has been a marked rise in the incidence of iatrogenic postoperative chylothorax. Postoperative chylothorax has become a prevalent complication of t…

关 键 词:乳糜胸 肺癌 治疗 临床
收稿时间:2005-12-09
修稿时间:2006-01-20

Treatment strategy for chylothorax after resection for lung cancer—16 case report
Hongjing Jiang, Changli Wang, Zhenqing Zhao, Xiaolin Li, Daliang Qi and Liqun Gong. Treatment strategy for chylothorax after resection for lung cancer—16 case report[J]. Chinese Journal of Clinical Oncology, 2006, 3(3): 158-161. DOI: 10.1007/s11805-006-0110-4
Authors:Hongjing Jiang   Changli Wang   Zhenqing Zhao   Xiaolin Li   Daliang Qi  Liqun Gong
Affiliation:(1) Department of Thoracic Surgery, Tianjin Medical University Cancer Institute and Hospital, 300060 Tianjin, China
Abstract:OBJECTIVE To review the experience of iatrogenic chylothorax after pul- monary resections for lung cancer and to evaluate our treatment strategy. METHODS From July 1997 through December 2003, a total of 1,546 pa- tients underwent pulmonary resection (at least lobectomy) and systematic mediastinal lymph node dissection for lung cancer in our division. Sixteen patients had a postoperative chylothorax complication. All of these pa- tients in this study were conservatively treated (closed drainage) with complete oral intake cessation and total parenteral nutrition. RESULTS All patients had their condition cured with conservative treat- ment. The duration of the treatment was 6-21 days. The patients were given normal diet for a mean of 9.8 days after chylothorax diagnosis. CONCLUSION If the correct treatment strategy is selected, most cases of chylothorax after pulmonary resection with systematic mediastinal lymph node dissection can be cured with a conservative strategy.
Keywords:lung cancer   chylothorax   resection   treatment.
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