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Thoracic non-oncologic: Michele De Santis, Vitoria Martins, Ana Luisa Fonseca, and Orlando Santos Large mediastinal thoracic duct cyst Interactive CardioVascular and Thoracic Surgery published on Oct 22, 2009 as doi:10.1510/icvts.2009.216861 [Abstract] [Journal Format PDF]

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eComment. Supradiaphragmatic ligation of the thoracic duct for prevention of postoperative chylothorax

Nikolaos Barbetakis, Christos Asteriou, Dimosthenis Vlaikos, Aggeliki Psatha   (18 November 2009)

eComment. Supradiaphragmatic ligation of the thoracic duct for prevention of postoperative chylothorax 18 November 2009
Nikolaos Barbetakis Thoracic Surgery and Pulmonary Medicine Department, Theagenio Hospital, Thessaloniki, Greece, Christos Asteriou, Dimosthenis Vlaikos, Aggeliki Psatha Send ecomment to journal: Re: eComment. Supradiaphragmatic ligation of the thoracic duct for prevention of postoperative chylothorax nibarbet{at}yahoo.gr Nikolaos Barbetakis, et al.	Interactive CardioVascular and Thoracic Surgery 2009, doi:10.1510/icvts.2009.216861A © 2009 European Association of Cardio-Thoracic Surgery Thoracic duct cyst is a rare entity and this case report is very interesting, due to the history of persistent hiccups [1]. The aim of our brief comment is to highlight the operative strategy whenever a pedicle of a thoracic duct is not identified. It is well known that when an inferior pedicle was ligated, no chylothorax was reported. This means, that whenever you have a non-identifiable pedicle as in the case reported here, probably an intraoperative supradiaphragmatic identification and ligation of the thoracic duct or a “mass supradiaphragmatic ligation” is necessary, in order to prevent postoperative chylothorax. References [1] De Santis M, Martins V,Fonseca AL, Santos O: Large mediastinal thoracic duct cyst. Interact CardioVasc Thorac Surg doi:10.1510/icvts.2009.216861.