Preventing of chylothorax after oesophagectomy by routine pre-operative administration of oral cream

MJ Shackcloth, M Poullis, J Lu… - European journal of …, 2001 - academic.oup.com
MJ Shackcloth, M Poullis, J Lu, RD Page
European journal of cardio-thoracic surgery, 2001academic.oup.com
The anatomy of the thoracic duct varies considerably. This can make it difficult to locate
during oesophageal surgery, especially in the fasted patient. We describe the technique of
administering cream orally before primary oesophageal surgery, to aid in the identification of
the thoracic duct. The duct along with other lymphatic channels can then be ligated as
appropriate, helping to reduce the incidence of post-operative chylothorax.
Abstract
The anatomy of the thoracic duct varies considerably. This can make it difficult to locate during oesophageal surgery, especially in the fasted patient. We describe the technique of administering cream orally before primary oesophageal surgery, to aid in the identification of the thoracic duct. The duct along with other lymphatic channels can then be ligated as appropriate, helping to reduce the incidence of post-operative chylothorax.
Oxford University Press