Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study
Abstract Background Chylothorax is a rare but potentially life-threatening complication after esophageal cancer resection. This study aims to investigate the impact of a strategy combining preoperative three-dimensional (3D) reconstruction of contrast-enhanced chest CT with olive oil ingestion on th...
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| Format: | Article |
| Language: | English |
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BMC
2025-02-01
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| Series: | Journal of Cardiothoracic Surgery |
| Online Access: | https://doi.org/10.1186/s13019-024-03319-0 |
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| _version_ | 1832571313572544512 |
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| author | Xindong Luo Di Lu Ziqiang Wang Jingyi Wang Ruozhu Dong Yaping Wang Wei Cao Dacheng Jin Zhaohao Lin Haochi Li Pengcheng Du Yunjiu Gou Pengcheng Dong Yayuan Yang |
| author_facet | Xindong Luo Di Lu Ziqiang Wang Jingyi Wang Ruozhu Dong Yaping Wang Wei Cao Dacheng Jin Zhaohao Lin Haochi Li Pengcheng Du Yunjiu Gou Pengcheng Dong Yayuan Yang |
| author_sort | Xindong Luo |
| collection | DOAJ |
| description | Abstract Background Chylothorax is a rare but potentially life-threatening complication after esophageal cancer resection. This study aims to investigate the impact of a strategy combining preoperative three-dimensional (3D) reconstruction of contrast-enhanced chest CT with olive oil ingestion on the incidence of chylothorax following esophageal cancer resection. Methods We retrospectively analyzed the clinical data of 357 patients who underwent esophageal cancer resection in the Department of Thoracic Surgery at Gansu Provincial People’s Hospital from January 2019 to June 2024. Among them, 179 patients who underwent preoperative 3D reconstruction of contrast-enhanced chest CT combined with oral olive oil administration were assigned to the 3D reconstruction group, while 158 patients who did not receive these interventions served as the control group. The primary outcome measures included the incidence of chylous leakage and related perioperative outcomes. Results All patients in both groups underwent surgeries successfully without any perioperative deaths. Compared to the control group, the 3D reconstruction group exhibited a significant decrease in the incidence of postoperative chylothorax (0% versus 8.2%, P < 0.001). The visualization rate of the thoracic duct during surgery was higher in the 3D reconstruction group compared to the control group (93.85% vs. 48.73%). Furthermore, patients in the 3D reconstruction group had less intraoperative bleeding (P = 0.003), shorter postoperative hospital stays (P = 0.003), and reduced chest drainage in the first three postoperative days (P < 0.001). Conclusion This study reveals that preoperative three-dimensional reconstruction of chest using enhanced CT allows for the anticipation of thoracic duct anatomy. Additionally, the combination of preoperative oral olive oil administration significantly enhances the intraoperative visualization of the thoracic duct. This integrated strategy effectively reduces the incidence of postoperative chylothorax, demonstrating promising clinical application prospects. |
| format | Article |
| id | doaj-art-88f131869617454bbd7da1c59d0f3b07 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-88f131869617454bbd7da1c59d0f3b072025-02-02T12:42:10ZengBMCJournal of Cardiothoracic Surgery1749-80902025-02-012011810.1186/s13019-024-03319-0Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective studyXindong Luo0Di Lu1Ziqiang Wang2Jingyi Wang3Ruozhu Dong4Yaping Wang5Wei Cao6Dacheng Jin7Zhaohao Lin8Haochi Li9Pengcheng Du10Yunjiu Gou11Pengcheng Dong12Yayuan Yang13The First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineDepartment of Thoracic Surgery, Gansu Provincial HospitalThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineThe First Clinical Medical College, Gansu University of Chinese MedicineDepartment of Thoracic Surgery, Gansu Provincial HospitalThe First Clinical Medical College, Gansu University of Chinese MedicineKey Laboratory of Veterinary Pharmaceutical Development, Ministry of Agricultural and Rural Affairs, Lanzhou Institute of Husbandry and Pharmaceutical Sciences of Chinese Academy of Agricultural SciencesAbstract Background Chylothorax is a rare but potentially life-threatening complication after esophageal cancer resection. This study aims to investigate the impact of a strategy combining preoperative three-dimensional (3D) reconstruction of contrast-enhanced chest CT with olive oil ingestion on the incidence of chylothorax following esophageal cancer resection. Methods We retrospectively analyzed the clinical data of 357 patients who underwent esophageal cancer resection in the Department of Thoracic Surgery at Gansu Provincial People’s Hospital from January 2019 to June 2024. Among them, 179 patients who underwent preoperative 3D reconstruction of contrast-enhanced chest CT combined with oral olive oil administration were assigned to the 3D reconstruction group, while 158 patients who did not receive these interventions served as the control group. The primary outcome measures included the incidence of chylous leakage and related perioperative outcomes. Results All patients in both groups underwent surgeries successfully without any perioperative deaths. Compared to the control group, the 3D reconstruction group exhibited a significant decrease in the incidence of postoperative chylothorax (0% versus 8.2%, P < 0.001). The visualization rate of the thoracic duct during surgery was higher in the 3D reconstruction group compared to the control group (93.85% vs. 48.73%). Furthermore, patients in the 3D reconstruction group had less intraoperative bleeding (P = 0.003), shorter postoperative hospital stays (P = 0.003), and reduced chest drainage in the first three postoperative days (P < 0.001). Conclusion This study reveals that preoperative three-dimensional reconstruction of chest using enhanced CT allows for the anticipation of thoracic duct anatomy. Additionally, the combination of preoperative oral olive oil administration significantly enhances the intraoperative visualization of the thoracic duct. This integrated strategy effectively reduces the incidence of postoperative chylothorax, demonstrating promising clinical application prospects.https://doi.org/10.1186/s13019-024-03319-0 |
| spellingShingle | Xindong Luo Di Lu Ziqiang Wang Jingyi Wang Ruozhu Dong Yaping Wang Wei Cao Dacheng Jin Zhaohao Lin Haochi Li Pengcheng Du Yunjiu Gou Pengcheng Dong Yayuan Yang Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study Journal of Cardiothoracic Surgery |
| title | Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study |
| title_full | Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study |
| title_fullStr | Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study |
| title_full_unstemmed | Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study |
| title_short | Impact of enhanced chest CT with three-dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax: a retrospective study |
| title_sort | impact of enhanced chest ct with three dimensional reconstruction combined with preoperative olive oil administration on the incidence of postoperative chylothorax a retrospective study |
| url | https://doi.org/10.1186/s13019-024-03319-0 |
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