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Effective Thoracic Duct Ligation at T9 for Postoperative Chylothorax: A Case Report
Yusuke Nabe1, Hiroshi Mizuuchi1, Masaaki Inoue1
1Department of Chest Surgery, Shimonoseki City Hospital, Shimonoseki, JPN.
Cureus
|March 5, 2026
Summary
Postoperative chylothorax can be challenging to manage. A novel technique involving en bloc ligation of adipose tissue at the T9 level successfully treated refractory chylothorax when the thoracic duct was not identifiable.
Area of Science:
- Thoracic Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Postoperative chylothorax is a rare but difficult complication following lung resection and mediastinal lymph node dissection.
- Identifying the thoracic duct or leak point can be challenging, especially with intrathoracic adhesions or limited resources.
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