ArticleJournal of cardiothoracic surgery2021
Treatment of Chylothorax complicating pulmonary resection with hypertonic glucose Pleurodesis.
Article in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Outcomes of conservative management for chylothorax following minimally invasive lung cancer surgery.Journal of cardiothoracic surgery · 2025Article
- Analysis of related factors and treatment effect of chylothorax after lung surgery.Journal of thoracic disease · 2024Article
- Chylothorax: pathophysiology, diagnosis, and management-a comprehensive review.Journal of thoracic disease · 2024Review
- Clinical Benefits of Lobe-Specific Lymph Node Dissection in Surgery for NSCLC: A Systematic Review and Meta-Analysis.JTO clinical and research reports · 2023Article
- Early Pleurodesis for Postoperative Air Leak with Autologous Blood and 50% Glucose Solution.Journal of chest surgery · 2023Article
- Analysis of the unplanned reoperation following surgical treatment of pulmonary tumor.Journal of cardiothoracic surgery · 2022Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo retrospectively assess the efficacy of hypertonic glucose pleurodesis for treatment of chylothorax after pulmonary resection.
methodsOut of a total of 8252 patients who underwent pulmonary resection (at least lobectomy) at department of thoracic surgery, between June 2008 and December 2015, 58 patients (0.7%) developed postoperative chylothorax. All patients received conservative treatment, including thoracic closed drainage, oral fasting, and total parenteral nutrition.
resultsConservative treatment was successful in 50 (86.2%) patients, while eight patients [mean age: 58.0 years (range, 45-75)] were treated with hypertonic glucose pleurodesis. All eight patients had undergone operation for lung cancer (four squamous cell carcinomas and four adenocarcinomas). The bronchial stump was covered by pleural flap in three patients. After pleurodesis, three patients developed fever but without empyema; thoracentesis was performed in two patients. The mean time interval between pleurodesis and operation was 4.3 days (range,3-5) days. The average length of stay was 23.1 days (range, 18-31). No recurrent pleural effusion was observed over a mean follow-up duration of 28 months.
conclusionHypertonic glucose pleurodesis performed via the chest drainage tube is a viable treatment option for chylothorax after lung resection, prior to resorting to a thoracoscopic or thoracotomic ductus thoracicus ligation of the thoracic duct leak. It is a simple, safe and efficient modality associated with rapid recovery and less pain.
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