Request PDF on ResearchGate | On Jan 1, , E. Pérez-Rodríguez and others published Linfangiomiomatosis y quilotorax. Conflictos en el manejo del. El presente estudio analizó la efectividad del manejo conservador, incluyendo pleurodesis, del quilotórax como complicación de la resección. Laparoscopic transhiatal esophagectomy with Akiyama tube reconstruction for a terminal achalasia. AM Pereira, R Ferreira de Almeida, G Gonçalves.
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Management of thoracic duct injuries after oesophagectomy. Br J Surg, 85pp.
Manejo toracoscópico de quilotórax após esofagectomia
Conventional esophagectomy requires either a laparotomy with a transhiatal dissection or a laparotomy combined with thoracotomy and it is associated with significant morbidity and mortality. Gastroenterology, 1pp. The postoperative period was uneventful.
We performed this challenging technique with a completely thoracoscopic hand-sewn esophagogastric anastomosis in two obese patients in prone position one female and one maleaffected by an adenocarcinoma of the lower third of the esophagus without lymph node invasion pT2 N0 and with a BMI of 35 and 32 respectively. De Paula was the first to report a large series of 48 patients undergoing a total laparoscopic transhiatal esophagectomy LTH.
Laparoscopic transhiatal esophagectomy for adenocarcinoma of the lower esophagus. Output of chyle as an indicator of treatment for chylothorax complicating oesophagectomy. Computed tomography and MRI showed a distal esophageal mass of 4cm in diameter. Thoracoscopic esophageal diverticulectomy and myotomy. The patient first undergoes a laparoscopic Heller’s myotomy but does not experience significant improvement in his symptoms.
Homemade diet was efficient in stop recurrence of chylous thoracic effusion accumulation, recovery of serum concentrations of total protein and albumin, and promotes weight gain.
In the preoperative work-up, gastroscopy and endoscopic ultrasonography revealed a cm multilobulated submucosal mass. Chylothorax complicating pulmonary resection.
The homemade diet included rice, chicken chest, carrot, calcium carbonate, yeast, vitamin and mineral supplement and salt. Operating room set up, position of patient and equipment, instruments used are thoroughly described. Laparoscopic Heller myotomy for the treatment of esophageal achalasia. A clinical management of a dog assaulted by chylothorax secondary to intestinal lymphangiectasia is described.
Manejo nutricional e digestibilidade no quilotórax canino
J Thorac Cardiovasc Surg, 76pp. The treatment consists in a diverticulectomy combined with an esophageal myotomy, which aims to treat motor disorders and quiloforax prevent fistula at the level of the diverticulectomy area. Surgical management of chylothorax. Consequently, this operating technique is well vel for the management of this condition. In obese patients, although the technique is foremost challenging, the advantages of minimally invasive surgery are undeniable —better intraoperative respiratory function avoiding selective lung exclusion and less complicated postoperative course.
Subsequently the patient undergoes a diverticulectomy through a right thoracoscopic approach.
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Here we show the case of a LTH for adenocarcinoma of the lower esophagus. They usually arise as intramural growths, most commonly along the distal two thirds of the esophagus. Laparoscopic enucleation of a horseshoe-shaped leiomyoma of the distal esophagus.
The leiomyoma was completely enucleated.
Chylothorax corresponds to accumulation of lymphatic fluid in one or both pleural spaces, resulting from the leak of thoracic duct or of one of their main divisions. This can be associated to chylous ascites in patients with systemic lymphatic disturbances, as in lymphangiectasia, due to defects in the lymphatic-veined transport of chylo quilootorax thoracic cavity to systemic circulation. LTH may be quilotoraax to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields good functional outcomes.