Postoperative chylothorax − review
Authors:
M. Szkorupa
Authors place of work:
I. chirurgická klinika Fakultní nemocnice Olomouc
Published in the journal:
Rozhl. Chir., 2020, roč. 99, č. 10, s. 427-437.
Category:
Review
Summary
The spectrum of causes of chylothorax is wide, including an injury to the thoracic duct in various thoracosurgical procedures, especially in esophageal, lung and heart surgery. Late diagnosis or inadequate treatment of chylothorax still has a high rate of morbidity and mortality. This is mainly related to high losses of chyle which is rich in minerals, plasma proteins, fats and lymphocytes. The most serious effects are mineral breakdown, malnutrition and immunodeficiency. Early diagnosis and adequate therapy are essential. The strategy is based on the type of primary operation, the volume of chyle secretion and its duration.
The authors present an overview of the issue of chylothorax from its etiology of origin to its anatomy, physiology, pathophysiology, symptomatology, diagnosis and therapy.
Keywords:
chylothorax – radiology – ligation − laparoscopy
Zdroje
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Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2020 Číslo 10
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