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Updated: Jan 30, 2026

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
Laparoscopic Transhiatal Thoracic Duct Ligation for Chylothorax after Esophagectomy
Yukinori Yamagata1,2, Kazuyuki Saito2, Kosuke Hirano2
1Department of Gastric Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Abstract:
In esophagectomy for thoracic esophageal cancer, chylothorax may develop at a certain frequency. For chylothorax, conservative treatment is selected first, but if it is not improved, thoracic duct (TD) ligation is considered. In general, transthoracic approach is chosen to reach the TD. However, it is sometimes difficult to identify the TD due to adhesion in the thoracic cavity. Hence, we selected a laparoscopic transhiatal approach to the TD. We introduce the procedure of our laparoscopic transhiatal TD ligation technique.
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