Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair
Postoperative chylothorax (POC) is an uncommon complication after thoracoabdominal aortic aneurysm (TAAA) open surgical repair. We report the case of a 70-year-old woman previously treated with ascending aorta replacement who presented with a 60-mm extent II TAAA. TAAA open surgical repair was perfo...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000899 |
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| author | Annarita Santoro, MD Diego Soto, MD Stefano Viscardi, MD Pierluigi Novellis, MD Giulia Veronesi, MD Germano Melissano, MD |
| author_facet | Annarita Santoro, MD Diego Soto, MD Stefano Viscardi, MD Pierluigi Novellis, MD Giulia Veronesi, MD Germano Melissano, MD |
| author_sort | Annarita Santoro, MD |
| collection | DOAJ |
| description | Postoperative chylothorax (POC) is an uncommon complication after thoracoabdominal aortic aneurysm (TAAA) open surgical repair. We report the case of a 70-year-old woman previously treated with ascending aorta replacement who presented with a 60-mm extent II TAAA. TAAA open surgical repair was performed. A POC was diagnosed on postoperative day 5. After failed conservative therapy, on postoperative day 24 a robotic-assisted thoracic duct (TD) ligation using indocyanine green fluorescence achieved POC complete resolution, the patient tolerated a full diet and was discharged. At the 3-month clinical follow-up, the patient is well. Robotic-assisted thoracic duct ligation with indocyanine green provided effective minimally invasive treatment with good results. |
| format | Article |
| id | doaj-art-a313e145a54a41489892dfcda860074a |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-a313e145a54a41489892dfcda860074a2025-08-20T03:56:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410180710.1016/j.jvscit.2025.101807Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repairAnnarita Santoro, MD0Diego Soto, MD1Stefano Viscardi, MD2Pierluigi Novellis, MD3Giulia Veronesi, MD4Germano Melissano, MD5Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy; Correspondence: Annarita Santoro, MD, Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Via Olgettina, 58, Milan 20132, ItalyDivision of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, ItalyDivision of Thoracic Surgery, IRCCS San Raffaele Scientific Institute, Milan, ItalyDivision of Thoracic Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy; Università Vita-Salute San Raffaele, Milan, ItalyDivision of Thoracic Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy; Università Vita-Salute San Raffaele, Milan, ItalyDivision of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, ItalyPostoperative chylothorax (POC) is an uncommon complication after thoracoabdominal aortic aneurysm (TAAA) open surgical repair. We report the case of a 70-year-old woman previously treated with ascending aorta replacement who presented with a 60-mm extent II TAAA. TAAA open surgical repair was performed. A POC was diagnosed on postoperative day 5. After failed conservative therapy, on postoperative day 24 a robotic-assisted thoracic duct (TD) ligation using indocyanine green fluorescence achieved POC complete resolution, the patient tolerated a full diet and was discharged. At the 3-month clinical follow-up, the patient is well. Robotic-assisted thoracic duct ligation with indocyanine green provided effective minimally invasive treatment with good results.http://www.sciencedirect.com/science/article/pii/S2468428725000899Aortic aneurysmThoracoabdominal aortic aneurysmChylothoraxRobotic surgeryIndocyanine greenFluorescence |
| spellingShingle | Annarita Santoro, MD Diego Soto, MD Stefano Viscardi, MD Pierluigi Novellis, MD Giulia Veronesi, MD Germano Melissano, MD Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair Journal of Vascular Surgery Cases and Innovative Techniques Aortic aneurysm Thoracoabdominal aortic aneurysm Chylothorax Robotic surgery Indocyanine green Fluorescence |
| title | Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| title_full | Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| title_fullStr | Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| title_full_unstemmed | Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| title_short | Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| title_sort | robotic assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair |
| topic | Aortic aneurysm Thoracoabdominal aortic aneurysm Chylothorax Robotic surgery Indocyanine green Fluorescence |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000899 |
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