Thoracoscopic ligation of the thoracic duct for a massive chylothorax following a thoracolaparoscopic oesophagectomy

Venkateshwara Mahadevan, Karthick Kalaichelvan, Raghunath K. J., Balachandran Premkumar, Sheena Ali, Subhankar Paul


Chyle leak is an uncommon yet solemn complication following several head, face and neck surgeries, especially malignancies. Thoracic duct injury usually has an insidious onset and a long course of response and improvement rendering the patient nutritionally debilitated and immunocompromised.  Hence, the prompt identification and treatment of a chyle leak is essential for an optimal surgical outcome. Here, we present an interesting case report of a chylothorax, as a postoperative sequela in a 70-year-old male with carcinoma oesophagus who underwent a Thoracolaparoscopic oesophagectomy. He was managed by a thoracoscopic ligation of the thoracic duct, which not only negated the need for a major thoracic procedure, but also provided a good surgical outcome.


Carcinoma oesophagus, Chylothorax, Management of thoracic duct chyle leak, Thoraco-laparoscopic-oesophagectomy, Thoracic duct injury

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