Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-15 DOI:10.1016/j.jvscit.2025.101807

Annarita Santoro MD , Diego Soto MD , Stefano Viscardi MD , Pierluigi Novellis MD , Giulia Veronesi MD , Germano Melissano MD

引用次数: 0

Abstract

Postoperative chylothorax (POC) is an uncommon complication after thoracoabdominal aortic aneurysm (TAAA) open surgical repair. We report the case of a 70-year-old woman previously treated with ascending aorta replacement who presented with a 60-mm extent II TAAA. TAAA open surgical repair was performed. A POC was diagnosed on postoperative day 5. After failed conservative therapy, on postoperative day 24 a robotic-assisted thoracic duct (TD) ligation using indocyanine green fluorescence achieved POC complete resolution, the patient tolerated a full diet and was discharged. At the 3-month clinical follow-up, the patient is well. Robotic-assisted thoracic duct ligation with indocyanine green provided effective minimally invasive treatment with good results.

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机器人辅助胸腔镜胸导管结扎与吲哚菁绿荧光成像在胸腹动脉瘤修复后乳糜胸中的应用

摘要术后乳糜胸是胸腹主动脉瘤（TAAA）开放性手术后少见的并发症。我们报告一例70岁的妇女，先前接受升主动脉置换术，表现为60毫米范围的II型TAAA。行TAAA开放性手术修复。术后第5天诊断为POC。保守治疗失败后，术后第24天，机器人辅助的胸导管（TD）结扎使用吲哚菁绿荧光实现了POC的完全解决，患者耐受全饮食并出院。临床随访3个月，患者恢复良好。机器人辅助的吲哚菁绿胸导管结扎术提供了有效的微创治疗，效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.