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Eur J Cardiothorac Surg 2001;20:1035-1036
© 2001 Elsevier Science NL

How-to-do-it

Preventing of chylothorax after oesophagectomy by routine pre-operative administration of oral cream

The Cardiothoracic Centre, Thomas Drive, Liverpool, L14 3PE, UK

Received 22 March 2001; received in revised form 17 July 2001; accepted 18 July 2001.

Corresponding author. Tel.: +44-151-228-1616
e-mail: m.shackcloth{at}virgin.net

Abstract

The anatomy of the thoracic duct varies considerably. This can make it difficult to locate during oesophageal surgery, especially in the fasted patient. We describe the technique of administering cream orally before primary oesophageal surgery, to aid in the identification of the thoracic duct. The duct along with other lymphatic channels can then be ligated as appropriate, helping to reduce the incidence of post-operative chylothorax.

Key Words: Chylothorax • Oesophagogastrectomy • Cream

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