杨立伟, 何明, 陈龙奇, 国建飞, 白世祥. 食管癌术中胸导管预防结扎连续1 031例无乳糜胸手术经验[J]. 中国肿瘤临床, 2006, 33(11): 636-637.
引用本文: 杨立伟, 何明, 陈龙奇, 国建飞, 白世祥. 食管癌术中胸导管预防结扎连续1 031例无乳糜胸手术经验[J]. 中国肿瘤临床, 2006, 33(11): 636-637.
Yang Liwei, He Ming, Chen Longqi, Guo Jianfei, Bai Shixiang. Preventive Ligation of the Thoracic Duct during Esophagectomy:Surgical Experience of 1 031 Chylothorax-free Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 636-637.
Citation: Yang Liwei, He Ming, Chen Longqi, Guo Jianfei, Bai Shixiang. Preventive Ligation of the Thoracic Duct during Esophagectomy:Surgical Experience of 1 031 Chylothorax-free Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 636-637.

食管癌术中胸导管预防结扎连续1 031例无乳糜胸手术经验

Preventive Ligation of the Thoracic Duct during Esophagectomy:Surgical Experience of 1 031 Chylothorax-free Cases

  • 摘要: 目的 :总结1031例食管癌术中结扎胸导管预防乳糜胸经验。 方法 :术中于膈上5cm处将胸导管、奇静脉及其间组织一并大块结扎。 结果 :1031例食管癌切除无术后乳糜胸。 结论 :采用低位膈上胸导管大块结扎预防食管癌切除术后乳糜胸操作简便,安全可靠。

     

    Abstract: Objective :To summarize our surgical experience with ligation of the thoracic ductduring esophagectomy to prevent chylothorax on 1 031 cases with esophageal carcinoma. Methods :During surgery, the thoracic duct was preventively ligated en bloc with the azygos vein and surroundingtissues at 5cm above the diaphragm. Results :In the 1 031 cases there is no postoperative chylothorax. Conclusion :It is safe and reliable to apply the low- set and supradiaphragmatic en bloc ligation of sur-rounding tissues with the thoracic duct for prevention of chylothorax following esophagectomy.

     

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