Abstract:Results of diaphragm fenestration in the management algorithm for postoperative chylothorax are encouraging. It appears safe and effective, but it may add to further variation in treatment strategies.
“…В отдельных случаях, когда вышеуказанные методы лечения невозможны, либо неэффективны некоторые авторы выполняют фенестрацию диафрагмы [18], либо наложение плевроперитонального шунта (подкожного или наружного [1]). Так же возможно применение дистанционной лучевой терапии на область средостения, что, однако, наиболее часто рассматривается в рамках лечения лимфом [8].…”
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.
“…В отдельных случаях, когда вышеуказанные методы лечения невозможны, либо неэффективны некоторые авторы выполняют фенестрацию диафрагмы [18], либо наложение плевроперитонального шунта (подкожного или наружного [1]). Так же возможно применение дистанционной лучевой терапии на область средостения, что, однако, наиболее часто рассматривается в рамках лечения лимфом [8].…”
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.
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