Abstract Background The aim of this study was to investigate the impact of thoracic duct embolization (TDE) on the management of postoperative chyle leakage. Methods We retrospectively reviewed the electronic medical record database of 4171 patients who underwent curative resection for lung or esophageal cancer between January 2015 and June 2017. We classified the period before the introduction of TDE as the first period and the period after the introduction of TDE as the second period. Results A total of 105 patients who developed chyle leakage after surgery were included. In the first period, 49 patients who underwent lung surgery developed chylothorax. Of those, two patients (4.1%) underwent surgical ligation of the thoracic duct (TD). Of eight patients with chyle leakage after esophagectomy, four patients (50%) underwent TD ligation. In the second period, 30 patients developed postoperative chyle leakage after pulmonary resection. Only one (3.3%) of them required surgical ligation. Of eight patients with chyle leakage after esophagectomy, only two (11.1%) patients underwent TD ligation. Five patients (16.7%) received TDE after lung surgery and five patients (27.7%) after esophageal surgery. Also, in the second period, the hospital stay of patients who underwent lung cancer surgery was shorter than the first period (12.6 ± 4.6 days vs. 16.3 ± 9.7 days; p = 0.026). Conclusions TDE is an effective method for the management of chyle leakage and might help to avoid invasive surgery.
展开▼
机译：摘要背景本研究的目的是调查胸围管道栓塞（TDE）对术后乳房泄漏管理的影响。方法回顾性分析的4171例患者谁接受根治性切除肺癌或食道癌2015年1月和2017年六月间，我们分类的介绍TDE作为第一阶段和周期引进TDE作为前后期间电子病历数据库第二个时期。结果包括在包括手术后开发暗层泄漏的105名患者。在第一期，49名接受肺手术的患者开发了Chylothorax。其中，两名患者（4.1％）接受了胸部管道（TD）的手术结扎。食道切除术后的八个患有乳房渗漏的患者，四名患者（50％）接受了TD结扎。在第二期，30名患者在肺切除后开发了术后乳房渗漏。他们只需要一个（3.3％）所需的手术结扎。在食管切除术后八个乳沟泄漏患者，只有两种（11.1％）患者接受了TD结扎。五名患者（16.7％）在食管手术后肺手术和五名患者（27.7％）接受TDE。另外，在第二期间中，谁接受肺癌手术的患者的住院时间比第一时段（12.6±4.6天对比16.3±9.7天; P = 0.026）更短。结论TDE是管理暗层渗漏的有效方法，可能有助于避免侵入性手术。
展开▼
