Chylothorax after esophageal cancer diagnosis and treatment (analysis of 16 cases).docVIP

 PAGE \* MERGEFORMAT 7 Chylothorax after esophageal cancer diagnosis and treatment (analysis of 16 cases) Paper Keywords: Esophageal thoracic duct re-thoracotomy chylothorax Abstract: Chylothorax after esophagectomy is a serious surgical complications, if not promptly attended to, often in patients with life-threatening. 74 years in our hospital from October to 99 May OK 3863 cases of esophageal cancer, 16 cases of postoperative chylothorax incidence rate of 0.4% (16/3863). In this group 3 tumors in 14 cases, 1-2 tumor in 2 cases; in the upper esophagus in 15 cases, accounting for 93.8% (14/16). Ligation of thoracic duct re-thoracotomy in 14 cases were successful, while the conservative 2 cases were dead. The occurrence of chylothorax and foreign invasion and tumor location have a certain relationship. Therefore, careful operation and preventive surgery in the thoracic duct ligation may be effective in preventing the occurrence of chylothorax. Observe the water after thoracic diagnosis of chylothorax an important position; chylothorax, once diagnosed, should take active surgical treatment, its effect is better than non-surgical treatment Paper content: Chylothorax is a serious complication after esophagectomy, if not promptly attended to, actively, and often life-threatening patients. In our hospital from October 1974 to May 1999 line of 3863 cases of esophageal cancer, 16 cases of postoperative chylothorax incidence rate of 0.4% (16/3863). Are reviewed below: One clinical data 1.1 General information on this group of 16 cases, 12 males and 4 females; age was 33 years old -72 years old. Upper thoracic esophageal cancer in 2 cases, 13 cases of esophageal chest, lower thoracic esophageal cancer in 1 case. Pathological were squamous cell carcinoma. TNM staging: I phase 1 case, II phase 1 case, III period in 14 cases. Chylothorax in this group occurred in 12 patients after 1-4 days ,5-7 days in 2 cases, 9 days in 2 cases. Pleural d