{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:01Z","timestamp":1753877221658,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T00:00:00Z","timestamp":1564531200000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymphatic leakage in the anterior and middle mediastinum. The Chylous leakage was resolved by LAG with lipiodol. Our findings suggest that variation of the thoracic duct should be evaluated by LAG when intractable chylothorax or chylomediastinum develops after anterior mediastinal surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjz178","type":"journal-article","created":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T19:09:27Z","timestamp":1563217767000},"source":"Crossref","is-referenced-by-count":1,"title":["Massive lymphatic leakage after lung cancer surgery via median sternotomy"],"prefix":"10.1093","volume":"2019","author":[{"given":"Kentaro","family":"Minegishi","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyoshi","family":"Tsubochi","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of Radiology, Saitama Medical Center, Jichi Medical University, Amanuma-cho 1-847, Omiya, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,7,31]]},"reference":[{"key":"2019073105502060400_rjz178C1","doi-asserted-by":"crossref","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 Cardiovasc Surg"},{"key":"2019073105502060400_rjz178C2","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.athoracsur.2014.03.003","article-title":"The incidence and management of postoperative chylothorax after pulmonary resection and thoracic 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considerations","volume":"57","author":"Okuda","year":"2009","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2019073105502060400_rjz178C6","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.athoracsur.2017.07.021","article-title":"Treatment of postsurgical chylothorax","volume":"105","author":"Reisenauer","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2019073105502060400_rjz178C7","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1259\/bjr\/64849421","article-title":"The effectiveness of lymphangiography as a treatment method for various chyle leakages","volume":"82","author":"Matsumoto","year":"2009","journal-title":"Br J Radiol"},{"key":"2019073105502060400_rjz178C8","doi-asserted-by":"crossref","first-page":"659","DOI":"10.2214\/AJR.12.10008","article-title":"Therapeutic effectiveness of diagnostic lymphangiography for refractory postoperative chylothorax and chylous ascites: correlation with radiologic findings and preceding medical treatment","volume":"201","author":"Kawasaki","year":"2013","journal-title":"AJR Am J Roentgenol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/7\/rjz178\/29022275\/rjz178.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T09:50:34Z","timestamp":1564566634000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz178\/5541844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,1]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz178","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2019,7]]},"published":{"date-parts":[[2019,7,1]]},"article-number":"rjz178"}}