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Updated: Jun 3, 2025

Non-invasive Optical Imaging of the Lymphatic Vasculature of a Mouse
Published on: March 8, 2013
High-Output Chylothorax: Novel Imaging Techniques Provide Specific Treatment
Lynn Verrelst1, Thomas Jardinet2, Martin Ruppert1,3
1Department of Abdominal, Pediatric and Reconstructive Surgery, Antwerp University Hospital, Edegem, Belgium.
Abstract:
Postesophagectomy chylothorax is a therapeutic dilemma. Understanding anatomy and leakage site is essential, although imaging techniques for thoracic lymphatics are challenging and not always available. We describe a patient with a left-sided thoracic duct and chylothorax after esophagectomy. We performed intranodal Lipiodol lymphangiography, computed tomography lymphangiography, and fluorescence-guided thoracic duct ligation with robot-assisted thoracic surgery. These techniques are useful in the postoperative setting but may also be used as preventive strategies to reduce morbidity and mortality from chylothorax after any thoracic surgery.
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