title: Prone-Position Thoracoscopic Ligation of the Thoracic Duct for Chyle Leak Following Radical Neck Dissection in a Patient with a Right Aortic Arch.
abstract: A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (typeⅢB1 of Edward's classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.
authors.affiliation: Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.yasuwr@md.okayama-u.ac.jp.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shirakawa
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Noma
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Ohara
authors.forename: Hajime
authors.initials: H
authors.lastname: Kashima
authors.forename: Naoaki
authors.initials: N
authors.lastname: Maeda
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Tanabe
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Kagawa
authors.forename: Toshiyoshi
authors.initials: T
authors.lastname: Fujiwara
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities*; D002913:Chyle; D016629:Esophagectomy; D006801:Humans; D008026:Ligation; D008297:Male; D037981:Neck Dissection / Q000009:adverse effects*; D016684:Prone Position; D013897:Thoracic Duct / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*