Treatment of chylothorax by robotic thoracic duct ligation.
This is the first report describing the use of robotic technology for the treatment of chylothorax. We present a 22-year-old with mixed embryonal cell and seminoma germ cell cancer refractory to medical and surgical treatment. The patient had rising markers and a growing left lower lung lobe metastasis. After left lower lobectomy, left-sided chylothorax developed. Conservative management failed, and a robotic right-sided thoracic duct ligation was performed. Other treatment options are reviewed.
D000328:Adult; D002916:Chylothorax / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation / Q000295:instrumentation; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000556:secondary* / Q000628:therapy; D009919:Orchiectomy / Q000379:methods; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D012371:Robotics; D012720:Severity of Illness Index; D013736:Testicular Neoplasms / Q000473:pathology / Q000628:therapy; D013897:Thoracic Duct / Q000601:surgery*; D016896:Treatment Outcome