World journal of surgery
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World J Surg
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World journal of surgery · Jan 2013
ReviewThoracic duct injury following esophagectomy in carcinoma of the esophagus: ligation by the abdominal approach.
Thoracic duct injury (TDI) is a potentially lethal complication of esophagectomy. There is no consensus regarding when and how to intervene in these injuries. Both thoracic and abdominal approaches have been used. ⋯ Trans-abdominal ligation of the thoracic duct in patients with chylothorax after esophagectomy is technically easy and safe. It may be preferred over the trans-thoracic approach, especially after an initial trans-hiatal esophagectomy.