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  • Title: Laparoscopic ligation of the thoracic duct in management of chylothorax.
    Author: Icaza OJ, Andrews K, Kuhnke M.
    Journal: J Laparoendosc Adv Surg Tech A; 2002 Apr; 12(2):129-33. PubMed ID: 12019574.
    Abstract:
    Laparoscopic ligation of the cisterna chyli at the level of the aortic hiatus was performed in a 69-year-old woman with post-lobectomy chylothorax refractory to 3 weeks of conservative therapy and one repeat thoracotomy with attempted ligation of a leaking lymphatic channel. This laparoscopic procedure was successful, and resolution of the chylothorax was achieved. We feel that this technique offers surgeons a valid, minimally invasive treatment option for a persistent chylothorax in which conservative management or more direct thoracic procedures have failed to control the chyle leak.
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