Effect of Preoperative Oral Administration of Olive Oil to Prevent Chylothorax after Thoracoscopic Resection of Esophageal Carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GENGGuo-jun , YUXiu-yi , GUOWei , LINing , QUFan , ZHUGuo-yong , WANGJian-weng , ZHONGMing , LINJun-feng , SHISi-en , SONGRong ,  JIANGJie

Department of Thorocic Surgery, The First Hospital Affiliated to Xiamen University, Xiamen 361003, P. R. China;

Corresponding author：

JIANGJie, Email: jiangjie06@126.com

Keywords：

Esophageal carcinoma; Thoracoscope; Olive oil; Alimentary duct; Chylothorax

DOI：

10.7507/1007-4848.20160170

Video：

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Objective To study the effect of preoperative oral administration of olive oil in the patients with laparoscopic resection of esophageal carcinoma and to expose the advantages of alimentary duct in operation. Methods We retrospectively analyzed the clinical data of 136 patients in our hospital from June 2013 through June 2015 year. There were 83 males and 53 females at age of 58.3±7.6 years. The patients were given oral olive oil 100 ml at preoperative 12 hours. Results All patients completed surgery successfully without transfer to open chest. Operation of thoracic duct filling was transparent, milky white, and with clear exposure. Thoracic duct was retained successfully in the 131 patients. It was found that intraoperative injury during separation of thoracic duct due to tumor invasion in 5 patients. These patients were treated with by titanium clipping. All the patients were with chest tube drainage for 3-5 d. Average drainage volume at postoperative 24 hours was 150±35 ml. Postoperative total drainage volume was 500±130 ml. None of postoperative chylothorax was found. Postoperative average hospitalization time was 9±2 d. Conclusion Esophageal cancer preoperative oral administration of olive oil is simple, safe, effective, no injury, and with clear exposure in thoracic duct in operation. Injury of the thoracic duct is reduced. The integrity of thoracic duct is preserved. Normal glucose and lipid metabolism is retained. Therefore, it is a good choice in preoperative preparation for esophageal cancer patients. It is worth popularization and application.

Citation： GENGGuo-jun, YUXiu-yi, GUOWei, LINing, QUFan, ZHUGuo-yong, WANGJian-weng, ZHONGMing, LINJun-feng, SHISi-en, SONGRong, JIANGJie. Effect of Preoperative Oral Administration of Olive Oil to Prevent Chylothorax after Thoracoscopic Resection of Esophageal Carcinoma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(7): 710-713. doi: 10.7507/1007-4848.20160170 Copy

1.	李牧, 宋剑非, 梁岳培, 等. 不同部位食管癌术后乳糜胸发生率比较. 山东医药, 2009, 49(50):34-35.
2.	Dougenis D, Walker WS, Cameron EW, et al. Management of chylothorax complicating extensivee esophageal resection. Surg Gynecol Obstet, 1992, 174(6):501-506.
3.	Choh CTP, Khan OA, Rychlik IJ, et al. Dose ligation of the thoracic duct during esophagectomy reduce the incidence of post-operative chylothorax. Int J Surg, 2012, 10(4):203-205.
4.	Gagol M, Ruol A, Castoro C, et al. Prophylactic thoracic duct mass ligation prevents chylothorax after transthoracic esophagectomy for cancer. World J Surg, 2009, 33(8):1684-1686.
5.	Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy:outcome in 222 patients. Ann Surg, 2003, 238(4):486-494.
6.	熊辉, 张学华, 晏大学. 食管癌术后乳糜胸的治疗. 中国胸心血管外科临床杂志, 2013, 20(1):121-122.
7.	孙超, 石维平, 束余声, 等. 低位胸导管结扎在预防食管癌切除术后乳糜胸的应用. 临床外科杂志, 2013, 21(3):195-196.
8.	Fahimi H, Casseman FP, Mariani MA, et al. Currentmanagement of postoperative chylothorax. Ann Thorac Surg, 2001, 71(2):448-450.
9.	姬宇宙, 薛霞, 王天霞. 结扎胸导管预防食管癌术后乳糜胸的临床研究. 中国临床研究, 2014, 27(7):822-823.
10.	李忠望, 李洪林, 徐勉. 低位结扎胸导管预防食管癌术后乳糜胸. 中国基层医药, 2010, 17(12):1649-1650.
11.	朱乾坤, 吴小波. 食管癌术中胸导管结扎预防乳糜胸-随机对照试验. 中国医学装备, 2014, 12(11):88-89.
12.	钟钏, 龚晟, 张永恒. 膈上结扎胸导管对预防食管癌术后乳糜胸的临床研究.中国医药指南, 2013, 11(3):164-165.
13.	高太虎, 邓丽云, 康秀水, 等. 颈廓清术并发颈乳糜瘘及乳糜胸的治疗. 肿瘤研究与临床, 1999, 24(6):388-390.
14.	杨洲, 杨绍福, 贾维坤, 等. 食管癌切除经食管床行弓上食管胃机械吻合术280例. 中国胸心血管外科临床杂志, 2005, 12(6):436-437.
15.	林一丹, 刘先, 寇瑛琍, 等. 预防食管癌术后乳糜胸的新策略初探——判别性胸导管结扎的临床研究. 四川大学学报(医学版), 2014, 45(5):842-843.
16.	冯明祥, 王群, 谭黎杰, 等. 管状胃在微创食管外科中的应用. 中国胸心血管外科临床杂志, 2010, 17(2):92-94.
17.	杨立伟, 何明, 陈龙奇, 等. 食管癌术中胸导管预防结扎连续1031例无乳糜胸手术经验. 中国医药指南, 2006, 33(11):636-637.
18.	胡青, 林永德, 周浩,等. 选择性结扎胸导管预防食管癌术后乳糜胸. 中国医药指南, 2011, 9(34):29-30.
19.	郭亮, 刘书文, 贾明选, 等. 选择性结扎胸导管预防食管癌术后乳糜胸. 现代肿瘤医学, 2012, 20(11):2413-2414.
20.	张合明. 食管癌术中结扎胸导管预防乳糜胸的研究. 医药论坛杂志, 2011, 32(13):169-170.

1. 李牧, 宋剑非, 梁岳培, 等. 不同部位食管癌术后乳糜胸发生率比较. 山东医药, 2009, 49(50):34-35.
2. Dougenis D, Walker WS, Cameron EW, et al. Management of chylothorax complicating extensivee esophageal resection. Surg Gynecol Obstet, 1992, 174(6):501-506.
3. Choh CTP, Khan OA, Rychlik IJ, et al. Dose ligation of the thoracic duct during esophagectomy reduce the incidence of post-operative chylothorax. Int J Surg, 2012, 10(4):203-205.
4. Gagol M, Ruol A, Castoro C, et al. Prophylactic thoracic duct mass ligation prevents chylothorax after transthoracic esophagectomy for cancer. World J Surg, 2009, 33(8):1684-1686.
5. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy:outcome in 222 patients. Ann Surg, 2003, 238(4):486-494.
6. 熊辉, 张学华, 晏大学. 食管癌术后乳糜胸的治疗. 中国胸心血管外科临床杂志, 2013, 20(1):121-122.
7. 孙超, 石维平, 束余声, 等. 低位胸导管结扎在预防食管癌切除术后乳糜胸的应用. 临床外科杂志, 2013, 21(3):195-196.
8. Fahimi H, Casseman FP, Mariani MA, et al. Currentmanagement of postoperative chylothorax. Ann Thorac Surg, 2001, 71(2):448-450.
9. 姬宇宙, 薛霞, 王天霞. 结扎胸导管预防食管癌术后乳糜胸的临床研究. 中国临床研究, 2014, 27(7):822-823.
10. 李忠望, 李洪林, 徐勉. 低位结扎胸导管预防食管癌术后乳糜胸. 中国基层医药, 2010, 17(12):1649-1650.
11. 朱乾坤, 吴小波. 食管癌术中胸导管结扎预防乳糜胸-随机对照试验. 中国医学装备, 2014, 12(11):88-89.
12. 钟钏, 龚晟, 张永恒. 膈上结扎胸导管对预防食管癌术后乳糜胸的临床研究.中国医药指南, 2013, 11(3):164-165.
13. 高太虎, 邓丽云, 康秀水, 等. 颈廓清术并发颈乳糜瘘及乳糜胸的治疗. 肿瘤研究与临床, 1999, 24(6):388-390.
14. 杨洲, 杨绍福, 贾维坤, 等. 食管癌切除经食管床行弓上食管胃机械吻合术280例. 中国胸心血管外科临床杂志, 2005, 12(6):436-437.
15. 林一丹, 刘先, 寇瑛琍, 等. 预防食管癌术后乳糜胸的新策略初探——判别性胸导管结扎的临床研究. 四川大学学报(医学版), 2014, 45(5):842-843.
16. 冯明祥, 王群, 谭黎杰, 等. 管状胃在微创食管外科中的应用. 中国胸心血管外科临床杂志, 2010, 17(2):92-94.
17. 杨立伟, 何明, 陈龙奇, 等. 食管癌术中胸导管预防结扎连续1031例无乳糜胸手术经验. 中国医药指南, 2006, 33(11):636-637.
18. 胡青, 林永德, 周浩,等. 选择性结扎胸导管预防食管癌术后乳糜胸. 中国医药指南, 2011, 9(34):29-30.
19. 郭亮, 刘书文, 贾明选, 等. 选择性结扎胸导管预防食管癌术后乳糜胸. 现代肿瘤医学, 2012, 20(11):2413-2414.
20. 张合明. 食管癌术中结扎胸导管预防乳糜胸的研究. 医药论坛杂志, 2011, 32(13):169-170.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Effect of Preoperative Oral Administration of Olive Oil to Prevent Chylothorax after Thoracoscopic Resection of Esophageal Carcinoma

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