Journal of Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2433-1783 Print ISSN: 2433-2720
Japanese Society of Pediatric Cardiology and Cardiac Surgery
Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of Pediatric Cardiology and Cardiac Surgery 5(2): 84-90 (2021)

Original ArticleOriginal Article

Analysis of Intractable Chylothorax Treatments during Consultations from Other Hospitals: A Treatment Strategy for Central Lymphatic Diseases

1Department of Plastic and Reconstructive Surgery, Saitama Children’s Medical Center ◇ Saitama, Japan

2Department of Pediatric Surgery, The University of Tokyo ◇ Tokyo, Japan

受付日:2021年1月7日Received: January 7, 2021
受理日:2021年4月21日Accepted: April 21, 2021
発行日:2021年7月1日Published: July 1, 2021

Background: Lymph flow disorder in the central lymph pathway is referred to as central lymphatic disease. This disorder can be intractable and can present as postoperative chylothorax. Although novel concepts and treatments have been reported, some specialists were generally asked about ideas beyond their specialties. Hence, the current study aimed to validate the ideas that emerged from these consultations.

Material and Methods: We analyzed the consultations handled by our team from May 2016 to May 2020. All data about the location and characteristics of the consulted hospitals, specialty of the consulting physician, and aim of the consultations (operation request, treatment plan, testing details, and nutrition) were retrospectively assessed.

Results: In total, 38 consultations were evaluated. We observed an annual increment in the number of cases. The majority of questioners were in the Kanto region, university hospitals, and pediatric cardiologist, about postoperative chylothorax. Notably, the consultations primarily aimed to discuss treatment plans rather than operative requests.

Conclusion: A standardized therapeutic strategy for central lymphatic disease should be established. Thus, a proposal for such a treatment approach was presented in our strategy flowchart.

Key words: postoperative chylothorax; central lymph disease; lymphatic venous anastomosis; interventional radiology; treatment strategy

This page was created on 2021-06-23T13:44:22.929+09:00
This page was last modified on 2021-07-05T13:18:34.000+09:00