We compiled a literature review of chylothorax cases after abdominal surgery and analyzed the cases related to liver transplant. The demographic information, follow-up results, and treatment details of our 2 cases of chylothorax after living-donor pediatric livertransplant were discussed.
An 8-month-old child and a 15-month-old child with cholestatic liver disease and urea cycle defect, respectively, underwent living-donor left lateral segment liver transplant. Patients who presented with chylothorax after discharge were treated conservatively.
Isolated chylothorax is rare complication after abdominal surgery, which is mostly possible to treat with conservative methods. Interventional procedures and a surgical approach should only be performed in resistant cases when conservative treatment has failed.
方法:对腹部手术后乳糜胸病例进行文献复习,并对肝移植相关病例进行分析。人口统计信息,后续结果,讨论了2例活体小儿肝脏移植后乳糜胸的治疗细节。
结果:一名8个月大的儿童和一名15个月大的儿童患有胆汁淤积性肝病和尿素循环缺陷,分别,接受活体供体左外侧段肝移植。出院后出现乳糜胸的患者接受保守治疗。
结论:孤立性乳糜胸是腹部手术后罕见的并发症,这大多可以用保守的方法治疗。只有在保守治疗失败的耐药病例中,才应进行介入手术和手术方法。