期刊论文详细信息
Journal of Pediatric Surgery Case Reports
The use of indocyanine green lymphography for the treatment of postoperative chylothorax with lipiodol lymphangiography in a 2-year-old child
Yoshihiro Ko1  Koji Nomura1  Hiroo Kinami1  Ko Fujisawa2  Hiroki Utsunomiya2  Shoji Watanabe2  Azusa Watanabe2  Motoi Kato3  Yutaka Tanami4 
[1] Saitama Children's Medical Center, Department of Cardiovascular Surgery, Japan;Saitama Children's Medical Center, Department of Plastic and Reconstructive Surgery, Japan;Saitama Children's Medical Center, Department of Plastic and Reconstructive Surgery/ Lymph Clinic, Japan;Saitama Children's Medical Center, Department of Radiology, Japan;
关键词: Chylothorax;    Thoracic surgery;    Lipiodol;    Lymphangiography;    Indocyanine green;    Lymphedema;   
DOI  :  10.1016/j.epsc.2017.06.005
来源: DOAJ
【 摘 要 】

Postoperative chylothorax in infants prolongs hospital stay and possibly causes developmental delay because of its conservative treatment including inanition. Several medical and surgical treatments may be applied, but none constitute the absolute solution. Treatment with lipiodol during lymphangiography for postoperative chylothorax has been reported to be highly effective and less invasive in adults. On the other hand, few cases have been reported in infants. We demonstrate successful blockage of chyle leakage with lipiodol injection through the inguinal lymph node in a 2-year-old infant. The patient had undergone on-pump coarctectomy and chylothorax developed soon after surgery. Several medical treatments were partially effective, but the chest tube could not be removed because sequential aspiration was required to maintain a normal respiratory status. With the patient under general anesthesia, lipiodol injection combined with indocyanine green (ICG) lymphography was performed. Lymphography combined with ICG significantly contributed not only to intraoperative detection of the inguinal lymph nodes but also to postoperative early detection of lymphedema caused by this procedure. This procedure required a simple maneuver and is probably applicable to other cases of traumatic chylothorax, such as after surgeries on the esophagus, trachea, or other components of the posterior mediastinum.

【 授权许可】

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