Prophylactic thoracic duct obliteration and resection during esophagectomy: What is the impact on perioperative risks and long‐term survival? A systematic review and meta‐analysis
Clara Lucato dos Santos, Laura L. dos Santos, Guilherme Tavares, Luca Schiliró Tristão, Marina Feliciano Orlandini, Maria Carolina Andrade Serafim, Letícia Nogueira Datrino, Wanderley Marques Bernardo, Francisco Tustumi
Abstract
There is no agreement whether prophylactic thoracic duct ligation (TDL), with or without resection, during esophagectomy for patients with cancer is beneficial. The effects of these procedures on postoperative complications and overall survival remain unclear. This systematic review included 16 articles. TDL did not influence short- and long-term outcomes. However, thoracic duct resection increased postoperative chylothorax and overall complications, with no improvement in survival.
Topics & Concepts
MedicineChylothoraxThoracic ductEsophagectomyPerioperativeSurgeryResectionMeta-analysisEsophageal cancerLigationGeneral surgeryCancerLymphatic systemInternal medicineImmunologyLymphatic Disorders and TreatmentsCongenital Diaphragmatic Hernia StudiesEsophageal and GI Pathology