Results of prophylactic thoracic duct ligation in advanced esophageal carcinoma

Sokouti, Mohsen; Montazeri, Vahid

doi:10.1007/s12055-009-0004-1

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Chylothorax refers to the presence of lymphatic fluid in one or both pleural spaces, secondary to leakage in the thoracic duct or one of its main tributaries (Miller, 2005), where risk of death is high without treatment (Fahimi et al, 2001). Prophylactic thoracic duct ligation is still an effective procedure to reduce the incidence of chylothorax (Sokouti and Montazeri, 2009). …”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is necessary to prevent chylothorax, although it is difficult in esophageal carcinoma surgery. In recent years, many clinical studies in China and abroad have highlighted the importance and effectiveness of thoracic duct ligation in the prevention of chylothorax in patients undergoing esophageal carcinoma surgery (Cagol et al, 2009;Sokouti and Montazeri, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Influence of thoracic duct ligation on the lipid metabolism of patients with esophageal carcinoma after esophagectomy

Liu¹,

Zhang²,

Yang³

et al. 2015

Genet. Mol. Res.

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ABSTRACT. The aim of this study was to determine the influence of thoracic duct ligation on the lipid metabolism of patients with esophageal carcinoma after esophagectomy. A total of 74 patients with esophageal carcinoma who underwent esophagectomy were divided into 2 groups according to whether or not their thoracic duct was ligated. Thirty-nine patients were in the thoracic duct ligation group and the other 35 assigned to the control group. Enteral feeding was through a nasojejunal tube from the 1st day to the 8th day after operation, and liquid diet was provided starting on the 6th day. We compared the plasma concentrations of cholesterol (CHOL), triglycerides (TG), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) at different time points. There were no statistically significant differences between the two groups in CHOL, TG and HDL levels at different times. However, LDL levels in the thoracic duct ligation group were significantly lower at different times compared to the other group (P < 0.05), where they were the lowest at the end of the 1st month and then gradually recovered 3 months later. Thoracic duct ligation can effectively prevent chylomicrons from being transferred to the blood, reducing the generation of LDL. The establishment of collateral circulation was slow after the ligation of the thoracic duct, which had a negative effect on early postoperative nutrition of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of thoracic duct ligation on the lipid metabolism of patients with esophageal carcinoma after esophagectomy

Liu¹,

Zhang²,

Yang³

et al. 2015

Genet. Mol. Res.

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show abstract

“…After applying eligibility criteria, 16 studies 9,11,[21][22][23][24][25][26][27][28][29][30][31][32][33][34] were finally selected for qualitative and quantitative analyses. Thirteen cohorts and three randomized clinical trials were evaluated.…”

Section: Baseline Characteristics Of the Included Studiesmentioning

confidence: 99%

Prophylactic thoracic duct obliteration and resection during esophagectomy: What is the impact on perioperative risks and long‐term survival? A systematic review and meta‐analysis

Santos

Tavares

et al. 2022

Journal of Surgical Oncology

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There is no agreement whether prophylactic thoracic duct ligation (TDL), with or without resection, during esophagectomy for patients with cancer is beneficial. The effects of these procedures on postoperative complications and overall survival remain unclear. This systematic review included 16 articles. TDL did not influence short‐ and long‐term outcomes. However, thoracic duct resection increased postoperative chylothorax and overall complications, with no improvement in survival.

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The effect of prophylactic thoracic duct ligation during esophagectomy on the incidence of chylothorax and survival of the patients: an updated review

Лю

Gong

Zhang

et al. 2020

Postgraduate Medicine

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Results of prophylactic thoracic duct ligation in advanced esophageal carcinoma

Cited by 3 publications

References 11 publications

Influence of thoracic duct ligation on the lipid metabolism of patients with esophageal carcinoma after esophagectomy

Influence of thoracic duct ligation on the lipid metabolism of patients with esophageal carcinoma after esophagectomy

Prophylactic thoracic duct obliteration and resection during esophagectomy: What is the impact on perioperative risks and long‐term survival? A systematic review and meta‐analysis

The effect of prophylactic thoracic duct ligation during esophagectomy on the incidence of chylothorax and survival of the patients: an updated review

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