Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Chylothorax

D W Johnstone1, R H Feins

  • 1Division of Thoracic Surgery, University of Rochester Medical Center, New York.

Chest Surgery Clinics of North America
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Chylothorax management involves understanding thoracic lymphatic anatomy and conservative treatments like pleural fluid drainage and nutritional support. Persistent cases necessitate surgical intervention to prevent severe complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Trial of a novel synthetic sealant in preventing air leaks after lung resection.

The Annals of thoracic surgery·2001
Same author

Lack of prognostic significance of p53 and K-ras mutations in primary resected non-small-cell lung cancer on E4592: a Laboratory Ancillary Study on an Eastern Cooperative Oncology Group Prospective Randomized Trial of Postoperative Adjuvant Therapy.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology·2001
Same author

Clinical trials in lung cancer: truth, justice, and the American way.

The Annals of thoracic surgery·2000
Same author

Neurologic complications in thoracic surgery.

Chest surgery clinics of North America·1998
Same author

Surgery for early stage non-small cell lung cancer.

Seminars in oncology·1997
Same author

Palliation of inoperable esophageal carcinoma with the Wallstent endoprosthesis.

The Annals of thoracic surgery·1996
Same journal

New treatment modalities for end-stage emphysema.

Chest surgery clinics of North America·2003
Same journal

Cost effectiveness of lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Results of lung volume reduction surgery for emphysema.

Chest surgery clinics of North America·2003
Same journal

Complications after lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Operative techniques for lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Patient selection for lung volume reduction surgery.

Chest surgery clinics of North America·2003
See all related articles

Area of Science:

  • Thoracic surgery
  • Lymphatic physiology
  • Critical care medicine

Background:

  • Chylothorax, characterized by chyle accumulation in the pleural space, poses significant clinical challenges.
  • Effective management hinges on understanding the complex anatomy of thoracic lymphatics and the pathophysiology of chyle leakage.
  • Prompt diagnosis and appropriate intervention are crucial for patient outcomes.

Purpose of the Study:

  • To outline the essential components of chylothorax management.
  • To emphasize the importance of conservative measures in resolving chylothorax.
  • To define the criteria for surgical intervention in refractory cases.

Main Methods:

  • Review of current literature on chylothorax management strategies.
  • Emphasis on conservative approaches including pleural space evacuation, nutritional support, and reduction of chyle production.

Related Experiment Videos

  • Discussion of indications and timing for surgical intervention.

    • Main Results:

    • Conservative management, including pleural drainage and nutritional therapy, is effective for most chylothorax cases.
    • A subset of patients requires surgical intervention due to failure of conservative measures.
    • Surgical intervention is critical for preventing mortality and long-term complications.

    Conclusions:

    • Comprehensive understanding of thoracic lymphatic anatomy and pathophysiology is fundamental for effective chylothorax management.
    • Conservative treatment strategies should be prioritized, encompassing pleural space management and nutritional support.
    • Surgical intervention remains a necessary option for resolving persistent chylothorax and averting fatal outcomes.