Abstract
Post–pulmonary resection chylothorax is a relatively uncommon problem but one that we all deal with enough that a management algorithm is helpful. Its incidence is less than chylothorax after esophagectomy or aortic surgery and likely increases with more radical lymph node dissection. Because it will rarely be caused by disruption of the main thoracic duct, it should have the best chance of stopping with conservative measures. Cho and colleagues [1] report a chylothorax rate of 2.1%, which is an order of magnitude larger than some series, attesting to their aggressive lymph node dissection protocol [2].
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