{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:19:46Z","timestamp":1783113586863,"version":"3.54.6"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,3]]},"abstract":"Key Clinical Message<\/jats:title>\n Chylothorax is a rare entity associated with morbidity. Surgical thoracic duct ligation (TDL) by thoracoscopic approach is the recommended choice for persistent chylothorax. However, thoracoscopy is not feasible in case of previous pleurodesis. We describe a successful laparoscopic transhiatal en\u2010mass TDL in a 61\u2010year\u2010old lady for persistent spontaneous chylothorax after failed optimal conservative management and three sessions of pleurodesis. The study shows that laparoscopic transhiatal thoracic duct ligation is an effective alternative in a case where thoracoscopy is not feasible due to various reasons.<\/jats:p>","DOI":"10.1002\/ccr3.8618","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T06:26:16Z","timestamp":1709792776000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic transhiatal en\u2010mass thoracic duct ligation for persistent bilateral spontaneous Chylothorax: A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1815-6276","authenticated-orcid":false,"given":"Kunal Bikram","family":"Deo","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit Kumar","family":"Deo","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujan","family":"Gautam","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6904-7972","authenticated-orcid":false,"given":"Narendra","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal"},{"name":"Department of Surgery Birat Medical College and Teaching Hospital Biratnagar Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailesh","family":"Adhikary","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery B P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2013.0819"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.0163-2021"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1185457"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.11.025"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv041"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.08.140"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70493-7"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-022-01567-7"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2020.03.10"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-022-05341-w"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doaa030"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8618","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8618","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:39:41Z","timestamp":1783111181000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/ccr3.8618"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8618","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8618"}}