[Assessment of Fat-free Diet for Postoperative Chylothorax].

Abstract

BACKGROUND:

Chylothorax after lung cancer surgery is relatively rare but must be considered as a complication of thoracic surgery.

METHOD:

Between January 2012 and June 2017, 818 patients underwent lung cancer surgery at our hospital. Among them, 14 (1.7%) patients with chylothorax were retrospectively reviewed. Three patients were treated with oral intake cessation except water and total parental nutrition( TPN)[TPN group], 11 patients were treated with a fat-free diet( fat-free diet group).

RESULTS:

The drainage period was similar in both group [group TPN;13 (12~14) days and group fat-free diet;15.7 (6~42) days]. In the TPN group, 3 patients underwent pleurodesis and no patient needed surgical intervention. In the fat-free diet group, 5 patients improved only with diet management. Pleurodesis was necessary in 5 of which 3 underwent surgical intervention.

CONCLUSIONS:

A fat-free diet is useful in treating chylothorax after lung cancer surgery.

• Authors: Masashi Furukawa, Akio Hara, Ryohei Miyazaki, Shintaro Yokoyama, Masataro Hayashi, Hiroyuki Tao, Kazunori Okabe
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 71 Issue 13 Pg. 1063-1065 (12 2018) ISSN: 0021-5252 [Print] Japan
• PMID: 30587742 (Publication Type: Journal Article)

Topics

• Chylothorax (diet therapy, etiology, therapy)
• Diet, Fat-Restricted
• Humans
• Lung Neoplasms (surgery)
• Parenteral Nutrition, Total
• Pleurodesis
• Postoperative Complications (diet therapy, etiology, therapy)
• Retrospective Studies