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, 宋劍非, 梁岳培, 等. 不同部位食管癌術后乳糜胸發生率比較. 山東醫藥, 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.	熊輝, 張學華, 晏大學. 食管癌術后乳糜胸的治療. 中國胸心血管外科臨床雜志, 2013, 20(1):121-122.
7.	孫超, 石維平, 束余聲, 等. 低位胸導管結扎在預防食管癌切除術后乳糜胸的應用. 臨床外科雜志, 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. 結扎胸導管預防食管癌術后乳糜胸的臨床研究. 中國臨床研究, 2014, 27(7):822-823.
10.	李忠望, 李洪林, 徐勉. 低位結扎胸導管預防食管癌術后乳糜胸. 中國基層醫藥, 2010, 17(12):1649-1650.
11.	朱乾坤, 吳小波. 食管癌術中胸導管結扎預防乳糜胸-隨機對照試驗. 中國醫學裝備, 2014, 12(11):88-89.
12.	鐘釧, 龔晟, 張永恒. 膈上結扎胸導管對預防食管癌術后乳糜胸的臨床研究.中國醫藥指南, 2013, 11(3):164-165.
13.	高太虎, 鄧麗云, 康秀水, 等. 頸廓清術并發頸乳糜瘺及乳糜胸的治療. 腫瘤研究與臨床, 1999, 24(6):388-390.
14.	楊洲, 楊紹福, 賈維坤, 等. 食管癌切除經食管床行弓上食管胃機械吻合術280例. 中國胸心血管外科臨床雜志, 2005, 12(6):436-437.
15.	林一丹, 劉先, 寇瑛琍, 等. 預防食管癌術后乳糜胸的新策略初探——判別性胸導管結扎的臨床研究. 四川大學學報(醫學版), 2014, 45(5):842-843.
16.	馮明祥, 王群, 譚黎杰, 等. 管狀胃在微創食管外科中的應用. 中國胸心血管外科臨床雜志, 2010, 17(2):92-94.
17.	楊立偉, 何明, 陳龍奇, 等. 食管癌術中胸導管預防結扎連續1031例無乳糜胸手術經驗. 中國醫藥指南, 2006, 33(11):636-637.
18.	胡青, 林永德, 周浩,等. 選擇性結扎胸導管預防食管癌術后乳糜胸. 中國醫藥指南, 2011, 9(34):29-30.
19.	郭亮, 劉書文, 賈明選, 等. 選擇性結扎胸導管預防食管癌術后乳糜胸. 現代腫瘤醫學, 2012, 20(11):2413-2414.
20.	張合明. 食管癌術中結扎胸導管預防乳糜胸的研究. 醫藥論壇雜志, 2011, 32(13):169-170.

1. 李牧, 宋劍非, 梁岳培, 等. 不同部位食管癌術后乳糜胸發生率比較. 山東醫藥, 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. 熊輝, 張學華, 晏大學. 食管癌術后乳糜胸的治療. 中國胸心血管外科臨床雜志, 2013, 20(1):121-122.
7. 孫超, 石維平, 束余聲, 等. 低位胸導管結扎在預防食管癌切除術后乳糜胸的應用. 臨床外科雜志, 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. 結扎胸導管預防食管癌術后乳糜胸的臨床研究. 中國臨床研究, 2014, 27(7):822-823.
10. 李忠望, 李洪林, 徐勉. 低位結扎胸導管預防食管癌術后乳糜胸. 中國基層醫藥, 2010, 17(12):1649-1650.
11. 朱乾坤, 吳小波. 食管癌術中胸導管結扎預防乳糜胸-隨機對照試驗. 中國醫學裝備, 2014, 12(11):88-89.
12. 鐘釧, 龔晟, 張永恒. 膈上結扎胸導管對預防食管癌術后乳糜胸的臨床研究.中國醫藥指南, 2013, 11(3):164-165.
13. 高太虎, 鄧麗云, 康秀水, 等. 頸廓清術并發頸乳糜瘺及乳糜胸的治療. 腫瘤研究與臨床, 1999, 24(6):388-390.
14. 楊洲, 楊紹福, 賈維坤, 等. 食管癌切除經食管床行弓上食管胃機械吻合術280例. 中國胸心血管外科臨床雜志, 2005, 12(6):436-437.
15. 林一丹, 劉先, 寇瑛琍, 等. 預防食管癌術后乳糜胸的新策略初探——判別性胸導管結扎的臨床研究. 四川大學學報(醫學版), 2014, 45(5):842-843.
16. 馮明祥, 王群, 譚黎杰, 等. 管狀胃在微創食管外科中的應用. 中國胸心血管外科臨床雜志, 2010, 17(2):92-94.
17. 楊立偉, 何明, 陳龍奇, 等. 食管癌術中胸導管預防結扎連續1031例無乳糜胸手術經驗. 中國醫藥指南, 2006, 33(11):636-637.
18. 胡青, 林永德, 周浩,等. 選擇性結扎胸導管預防食管癌術后乳糜胸. 中國醫藥指南, 2011, 9(34):29-30.
19. 郭亮, 劉書文, 賈明選, 等. 選擇性結扎胸導管預防食管癌術后乳糜胸. 現代腫瘤醫學, 2012, 20(11):2413-2414.
20. 張合明. 食管癌術中結扎胸導管預防乳糜胸的研究. 醫藥論壇雜志, 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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