Publication:

Thoracoscopic ligation of the thoracic duct for a massive chylothorax following a thoracolaparoscopic oesophagectomy

Chyle leak is an uncommon yet solemn complication following several head, face and neck surgeries, especially malignancies. Thoracic duct injury usually has an insidious onset and a long course of response and improvement rendering the patient nutritionally debilitated and immunocompromised.  Hence, the prompt identification and treatment of a chyle leak is essential for an optimal surgical outcome. Here, we present an interesting case report of a chylothorax, as a postoperative sequela in a 70-year-old male with carcinoma oesophagus who underwent a Thoracolaparoscopic oesophagectomy. He was managed by a thoracoscopic ligation of the thoracic duct, which not only negated the need for a major thoracic procedure, but also provided a good surgical outcome.