SURGICAL ASPECTS OF THE TREATMENT OF CHYLOTHORAX (CLINICAL OBSERVATIONS AND LITERATURE REVIEW)

Author:

Gallyamov E. A.1ORCID,Romanikhin A. I.1ORCID,Nikulin A. V.1ORCID,Malofei A. M.1ORCID,Diduev G. I.1ORCID,Surkov A. I.1ORCID

Affiliation:

1. City Clinical Hospital No. 23 named after I. V. Davydovsky of the Department of Health of the City of Moscow

Abstract

Chylothorax is a rare disease that occurs due to damage to the thoracic lymphatic duct with the outflow of chyle from the lymphatic system into the pleural cavity, usually on the right.Establishing a final diagnosis for this disease is often associated with additional time costs, due to its relatively low prevalence. Currently, 65 scientific articles in Russian have been written on this topic.A necessary condition for the successful treatment of this disease is the identification of the root cause of its occurrence with its subsequent elimination.Despite the available scientific publications on this topic with a description of algorithmic approaches to diagnosis and treatment, sometimes, due to objective circumstances, it is necessary to correct these recommendations to ensure the most adequate treatment for a particular patient.

Publisher

Center of Endourology Endocenter

Subject

General Medicine

Reference18 articles.

1. McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 2010 Jan;104(1):1-8. https://doi.org/10.1016/j.rmed.2009.08.010

2. Arakelyan V.S., Gidaspov N.A., Kulichkov P.P., Kas'yanova N.Yu., Malinin A.A. Taktika kompleksnogo lecheniya posleoperatsionnogo khilotoraksa posle protezirovaniya aorty po povodu aortal'nogo divertikula i rasslaivayushcheisya anevrizmy. Annaly khirurgii. 2016. №21 (4). S. 269-274. [Arakelyan V.S., Gidaspov N.A., Kulichkov P.P., Kas'yanova N.YU., Malinin A.A. Taktika kompleksnogo lecheniya posleoperacionnogo hilotoraksa posle protezirovaniya aorty po povodu aortalnogo divertikula i rasslaivayushchejsya anevrizmy. Annaly hirurgii. 2016, №21 (4), pp 269-274. (In Russ.)]

3. Kanna S, Arora S, Goel H, Jindal P, Shad S. Chylothorax after coronary artery bypass grafting: Is it always early? J Card Surg. 2021 Sep;36(9):3402-3404. https://doi.org/10.1111/jocs.15686

4. Goity LD, Itkin M, Nadolski G. An Algorithmic Approach to Minimally Invasive Management of Nontraumatic Chylothorax. Semin Intervent Radiol. 2020 Aug;37(3):269- 273. https://doi.org/10.1055/s-0040-1713444

5. Stange S, Sziklavari Z. Systematische Übersichtsarbeit: moderne Behandlungsverfahren beim postoperativen Chylothorax [Modern Treatment Options for Postoperative Chylothorax: a Systematic Review]. Pneumologie. 2021 Jun;75(6):439-446. German. https://doi.org/10.1055/a-1172-7288

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