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Non-conservative Management of Chylothorax. | LitMetric

Non-conservative Management of Chylothorax.

J Chest Surg

Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.

Published: August 2021

AI Article Synopsis

  • Chylothorax occurs when lymphatic fluid leaks into the chest cavity, often following thoracic surgery or being linked to cancer.
  • * While there haven't been formal trials, radiological interventions have shown promise in treating persistent chylothorax after two weeks of conservative management.
  • * If these interventions fail, a collaborative approach is needed to assess if surgery might be the best next step.*

Article Abstract

Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8350472PMC
http://dx.doi.org/10.5090/jcs.21.056DOI Listing

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