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CASE REPORT article
Front. Surg.
Sec. Surgical Oncology
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1558519
This article is part of the Research TopicApplications of Fluorescence in Surgery and Diagnostics Volume II: Evolution and BreakthroughsView all 8 articles
Case Report: Thoracic Duct Ligation for Left-sided Chylothorax after pneumonectomy with contralateral VATS Procedure Using Indocyanine Green Fluorescence
Provisionally accepted
Chiara Anna Schiena*
Mario Pezzella
Eleonora Faccioli*Alessandro RebussoGiovanni ComacchioStefano SilvestrinMichele Battistel
Edoardo Rosellini
FEDERICO REASamuele Nicotra- University Hospital of Padua, Padua, Veneto, Italy
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We presente a particular case report of patient who underwent left pneumonectomy forSMARCB1-deficient mediastinal sarcoma. He developed left chylothorax into 16th postoperative day. We tried to treat this condition with conservative procedures, but at the end we had to proceed to surgery. In particular ,we decided to perform thoracic duct ligation via right-sided VATS, using indocyanine green (ICG) fluorescence to identify the thoracic duct.The peculiarity of our case report is that we managed to treat a chylothorax following left pneumonectomy via right VATS closure of the thoracic duct using ICG fluorescence. The typical approaches to ligate TD following pneumonectomy procedure described in literature consists in using the previous surgical accesses (thoracotomy or VATS) without the complement of ICG fluorescence.
Keywords: Alessandro Rebusso: Conceptualization, Writingreview & editing. Chiara Anna Schiena: Writingoriginal draft, Writingreview & editing. Edoardo Rosellini: Conceptualization, Writingreview & editing. Eleonora Faccioli: Conceptualization, methodology, supervision, Validation, Writingreview & editing. FEDERICO REA: Supervision
Received: 10 Jan 2025; Accepted: 08 Apr 2025.
Copyright: © 2025 Schiena, Pezzella, Faccioli, Rebusso, Comacchio, Silvestrin, Battistel, Rosellini, REA and Nicotra. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Chiara Anna Schiena, University Hospital of Padua, Padua, 35128, Veneto, Italy
Eleonora Faccioli, University Hospital of Padua, Padua, 35128, Veneto, Italy
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