Left Chylothorax Following Subtotal Gastrectomy and Vagotomy-A Case Report

亞全胃切除和迷走神經切斷手術後引起左側乳糜胸－病例報告

王秉彥(Bing-Yen Wang) ； 許文虎(Wen-Hu Hsu)

《胸腔醫學》 25卷1期 (2010/02) Pp. 51-55

https://doi.org/10.29806/TM.201002.0009

摘要

乳糜胸在胸腔手術中為一罕見之併發症。而亞全胃切除和迷走神經切斷手術後引起左側乳糜胸未曾被報告過。我們提出一位66歲男性病人，因為接受亞全胃和迷走神經切斷切除手術後，引起左側乳糜胸，先給予保守性治療無效後，經由右側胸腔鏡輔助下，予以手術金屬夾夾住胸管後，病人乳糜胸未見改善。最後，經由左側開胸手術，在降主動脈左方於橫隔膜上找到胸管分支並結紮之，成功治療病人乳糜胸。

關鍵字

乳糜胸 ； 亞全胃切除 ； 迷走神經切斷 ； 左側開胸手術 ； 胸管結紮

並列摘要

Chylothorax is a rare postoperative complication of general surgery. It has never been reported to occur after subtotal gastrectomy and vagotomy. We described a 66-year-old man who developed left chylothorax resulting from subtotal gastrectomy and vagotomy. Conservative treatment was tried first. Then, surgical intervention through right-sided videoassisted thoracoscopic surgery with clipping of the right thoracic duct was performed, but failed. Finally, left thoracotomy with ligation of the branch of the thoracic duct at the supradiaphragmatic region resolved the left chylothorax.

並列關鍵字

chylothorax ； subtotal gastrectomy ； vagotomy ； left thoracotomy ； thoracic duct ligation