A Case of Post-Esophagectomy Chylothorax Treated by Consurvative Treatment with Octreotide.

Abstract

We experienced a case in which conservative therapy including administration of octreotide acetate was effective for chylothorax after surgical treatment of esophageal cancer. A 65-year-old male had received neoadjuvant chemotherapy and thereafter underwent subtotal esophagectomy with lymph node excision of three regions（c-T3N1M0, StageⅢ）．On third postoperative day, pleural fluid of right pleural cavity was noted and an increase of drainarge fluid was observed and subsequently he was diagnosed as chylothorax. Octreotide acetate and mynomycine were administered daily but observed no dignificant improvement. The persistent conservative treatment, using fat-restricted diet and TPN, and a second infusion of octreotide acetate resulted in gradual decrease of discharge. On the 50th postoperative day, the thoracic drainarge tube was removed and the 59th postoperative day, the patient was discharged. We report this case presented with 24 literatures reported of chyrothorax after esophagectomy for esophageal cancer.