{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T18:31:12Z","timestamp":1787596272173,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Postoperative chylothorax directly resulting from thoracic duct injury is rare following pulmonary surgery. We describe a patient with suspected lung cancer undergoing thoracoscopic right upper lobe posterior segmentectomy with lobe-specific mediastinal lymph node dissection who presented with persistent chylothorax. Despite sequential conservative measures, including chylous drainage and a low-fat diet, her clinical symptoms recurred persistently. Secondary surgery confirmed a thoracic duct injury, presumably caused by improper stapler application during parenchymal transection, where the staple line over-extended and injured the adjacent duct. This unreported mechanism underscores the need for clinical vigilance against chylothorax resulting from iatrogenic stapler overextension injury.<\/jats:p>","DOI":"10.1093\/jscr\/rjag742","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:20:51Z","timestamp":1786706451000},"source":"Crossref","is-referenced-by-count":0,"title":["Chylothorax complicating pulmonary resection caused by lymphatic duct injury outside the conventional regional lymph node dissection area: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Tianshu","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine , Jiefang road 88, Shangcheng District, Hangzhou, Zhejiang Province, 310009 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine , Jiefang road 88, Shangcheng District, Hangzhou, Zhejiang Province, 310009 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baiqin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine , Jiefang road 88, Shangcheng District, Hangzhou, Zhejiang Province, 310009 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"2026082414053552500_ref1","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.jtcvs.2013.04.015","article-title":"Low-fat diet management strategy for chylothorax after pulmonary resection and lymph node dissection for primary lung cancer","volume":"146","author":"Takuwa","year":"2013","journal-title":"J Thorac 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