{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:30:31Z","timestamp":1789475431709,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T00:00:00Z","timestamp":1404345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T00:00:00Z","timestamp":1404345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\nChylothorax is an infrequent but well\u2010known complication in lung cancer surgery. Previous published studies on this topic are limited, and thoracotomy has been the main surgical approach for treatment. However, chylothorax after lung cancer surgery performed solely by video\u2010assisted thoracoscopic surgery (VATS) has rarely been investigated. The purpose of this study is to evaluate chylothorax after VATS for lung cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The records of 776 patients with primary non\u2010small\u2010cell lung cancer (NSCLC) who underwent VATS for pulmonary resection and mediastinal lymph node dissection (MLND) at our hospital from January 2010 to August 2013 were retrospectively reviewed. Twenty patients with chylothorax (2.58 %) were included in the analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 20 patients with chylothorax were all treated conservatively, but five patients (25 %) subsequently required reoperation for chylothorax. In patients with pleural drainage of less than 400\u00a0ml the first postoperative day, the chylothorax resolved with conservative treatment. Chylothorax also resolved in patients with pleural drainage of more than 400\u00a0ml the first or second postoperative day if drainage was less than 400\u00a0ml on postoperative day 4 and thereafter. Reoperations were required in cases with an increasing amount of pleural drainage on postoperative day 4 and thereafter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most of the chylothorax following VATS for lung cancer can be treated conservatively. However, the timing of surgical intervention for chylothorax following VATS for lung cancer can be earlier if pleural drainage does not show a trend toward decreasing with conservative treatment.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2699-4","type":"journal-article","created":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T18:14:39Z","timestamp":1404324879000},"page":"2875-2881","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Chylothorax Complicating Video\u2010Assisted Thoracoscopic Surgery for Non\u2010small Cell Lung Cancer"],"prefix":"10.1002","volume":"38","author":[{"given":"Chao\u2010Yu","family":"Liu","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"Department of Surgery Far Eastern Memorial Hospital New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po\u2010Kuei","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"Institute of Clinical Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Sheng","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"Institute of Clinical Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yung\u2010Han","family":"Sun","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"},{"name":"Graduate Institute of Business and Management Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Chung","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Hu","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery Taipei Veterans General Hospital No. 201, Sec. 2, Shih\u2010Pai Road 112 Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,3]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105223(96)70152\u20106"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(02)03570\u20101"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.124386"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102003\u201045423"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100030\u20101270990"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.10.065"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e3181a0d82e"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(00)02033\u20106"},{"key":"e_1_2_6_10_2","first-page":"345","article-title":"Late\u2010period\u2010onset 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