Chylothorax after thoracoscopic extended thymectomy: a case report and literatures review

Zhang, Zhirong; Hu, Xinyi; Chen, Qirui; Li, Hui

doi:10.21037/jtd.2018.07.103

Cited by 2 publications

(5 citation statements)

References 11 publications

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“…Chylothorax was observed in three cases in the robotic group. This incidence is indeed in line with the literature, although chylothorax is a rare postoperative complication that can occur after radical thymectomy, especially in myasthenic patients, as reported by Zhang et al [30].…”

Section: Discussionsupporting

confidence: 90%

National Multicenter Study on the Comparison of Robotic and Open Thymectomy for Thymic Neoplasms in Myasthenic Patients: Surgical, Neurological and Oncological Outcomes

Sicolo,

Zirafa,

Romano

et al. 2024

Cancers

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Thymectomy is the gold standard in the treatment of thymic neoplasm and plays a key role in the therapeutic path of myasthenia gravis. For years, sternotomy has been the traditional approach for removing anterior mediastinal lesions, although the robotic thymectomy is now widely performed. The literature is still lacking in papers comparing the two approaches and evaluating long-term oncological and neurological outcomes. This study aims to analyze the postoperative results of open and robotic thymectomy for thymic neoplasms in myasthenic patients. Surgical, oncological and neurological data of myasthenic patients affected by thymic neoplasms and surgically treated with extended thymectomy, both with the open and the robotic approach, in six Italian Thoracic Centers between 2011 and 2021 were evaluated. A total of 213 patients were enrolled in the study: 110 (51.6%) were treated with the open approach, and 103 (48.4%) were treated with robotic surgery. The open surgery, compared with the robotic, presented a shorter operating time (p < 0.001), a higher number of postoperative complications (p = 0.038) and longer postoperative hospitalization (p = 0.006). No other differences were observed in terms of surgical, oncological or neurological outcomes. The robotic approach can be considered safe and feasible, comparable to the open technique, in terms of surgical, oncological and neurological outcomes.

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Section: Discussionsupporting

confidence: 90%

National Multicenter Study on the Comparison of Robotic and Open Thymectomy for Thymic Neoplasms in Myasthenic Patients: Surgical, Neurological and Oncological Outcomes

Sicolo,

Zirafa,

Romano

et al. 2024

Cancers

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“…In terms of the present case, she received a transsternal approach, although she did not have myasthenia gravis. The onset of chylothorax in the present case was at least >7 days later, which was later than the 2 or 3 days reported by Zhang [ 5 ]. This late onset in the present case is even rarer, and the reason for this is unknown.…”

Section: Discussioncontrasting

confidence: 61%

“…There are only a limited number of previous reports of chylothorax as a complication following thymectomy [ 3–8 ]. Zhang et al reviewed 11 cases of chylothorax following thymectomy reported from 1994 to 2017 [ 5 ]. They summarized that the majority of patients with chylothorax following thymectomy had myasthenia gravis and transsternal approach and were diagnosed on post-operative 2 or 3 days [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Zhang et al reviewed 11 cases of chylothorax following thymectomy reported from 1994 to 2017 [ 5 ]. They summarized that the majority of patients with chylothorax following thymectomy had myasthenia gravis and transsternal approach and were diagnosed on post-operative 2 or 3 days [ 5 ]. Furthermore, these 11 patients were successfully treated with conservative therapy for ~2 weeks, indicating that chylothorax following thymectomy might occur due to an injury of small mediastinal lymphatic channels but not major branches of the thoracic duct [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only three cases of chylothorax following thymectomy [ 6–8 ] have been reported since the review by Zhang et al . [ 5 ]. Among these three patients, two patients were successfully treated with conservative therapy [ 6 , 7 ], but one received surgery [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Chylothorax following transsternal total thymectomy: a case report

Kato

Tomita

Shimamura

et al. 2023

Journal of Surgical Case Reports

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Herein, we report a case of chylothorax following total thymectomy. A 46-year-old woman having an anterior mediastinal tumor underwent a thymectomy via median sternotomy. Seven days after surgery, there was no massive pleural effusion. However, on post-operative day 17, a right massive pleural effusion was detected, and it was diagnosed as chylothorax. She was successfully treated with conservative therapy. Chylothorax following thymectomy is a very rare complication.

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Chylothorax after thoracoscopic extended thymectomy: a case report and literatures review

Cited by 2 publications

References 11 publications

National Multicenter Study on the Comparison of Robotic and Open Thymectomy for Thymic Neoplasms in Myasthenic Patients: Surgical, Neurological and Oncological Outcomes

National Multicenter Study on the Comparison of Robotic and Open Thymectomy for Thymic Neoplasms in Myasthenic Patients: Surgical, Neurological and Oncological Outcomes

Chylothorax following transsternal total thymectomy: a case report

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