Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS

Luigi Lione; Alberto Busetto; Alessandro Bonis; Vincenzo Verzeletti; Eleonora Faccioli; Giovanni Maria Comacchio; Michele Battistel; Alessandro Rebusso; Samuele Nicotra; Federico Rea

doi:10.20944/preprints202409.1988.v1

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preprints.org > medicine and pharmacology > surgery > doi: 10.20944/preprints202409.1988.v1

Preprint Case Report Version 1 This version is not peer-reviewed

Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS

^* ,

Giovanni Maria Comacchio

Version 1 : Received: 24 September 2024 / Approved: 25 September 2024 / Online: 25 September 2024 (12:43:58 CEST)

How to cite: Lione, L.; Busetto, A.; Bonis, A.; Verzeletti, V.; Faccioli, E.; Comacchio, G. M.; Battistel, M.; Rebusso, A.; Nicotra, S.; Rea, F. Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS. Preprints 2024, 2024091988. https://doi.org/10.20944/preprints202409.1988.v1 Lione, L.; Busetto, A.; Bonis, A.; Verzeletti, V.; Faccioli, E.; Comacchio, G. M.; Battistel, M.; Rebusso, A.; Nicotra, S.; Rea, F. Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS. Preprints 2024, 2024091988. https://doi.org/10.20944/preprints202409.1988.v1

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MDPI and ACS Style

Lione, L.; Busetto, A.; Bonis, A.; Verzeletti, V.; Faccioli, E.; Comacchio, G. M.; Battistel, M.; Rebusso, A.; Nicotra, S.; Rea, F. Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS. Preprints 2024, 2024091988. https://doi.org/10.20944/preprints202409.1988.v1

APA Style

Lione, L., Busetto, A., Bonis, A., Verzeletti, V., Faccioli, E., Comacchio, G. M., Battistel, M., Rebusso, A., Nicotra, S., & Rea, F. (2024). Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS. Preprints. https://doi.org/10.20944/preprints202409.1988.v1

Chicago/Turabian Style

Lione, L., Samuele Nicotra and Federico Rea. 2024 "Management of Postoperative Left-Sided Chylothorax Using Indocyanine Green Fluorescence-Guided VATS" Preprints. https://doi.org/10.20944/preprints202409.1988.v1

Abstract

Chylothorax is a rare complication occurring after cardio-thoracic surgical procedures. This condition presents challenges about diagnosis and treatment. Operative ductal ligation is the method of choice for relapsing or refractory cases, and it can be performed through the aid of IGC injection for the identification of chylous leakage. Our report presents the use of ICG fluorescence during VATS to successfully identify and treat a left-sided post-surgical chylothorax. The patient underwent a pulmonary wedge resection for a suspect malignant lesion and developed chylous leakage in the early postoperative period. On postoperative day 7 the patient underwent a revision thoracoscopy for hemostasis and thoracic duct ligation. ICG injections have been performed through bilateral inguinal lymph nodes and approximately 15 minutes after we performed the re-thoracoscopy with effective identification and ligation of the chyle leakage. ICG fluorescence-guided VATS is a valuable and effective method for managing postoperative chylothorax, especially for left-sided leaks. The video of the procedure can be found at: https://zenodo.org/records/13786288

Keywords

chylothorax; thoracic surgery; indocyanine green fluorescence; lymph nodes

Subject

Medicine and Pharmacology, Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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