Literature DB >> 20480366

Reliability of Poirier's triangle in localizing the thoracic duct in the thorax.

R Shane Tubbs1, Nima Noordeh, Abhisek Parmar, Ayhan Cömert, Marios Loukas, Mohammadali M Shoja, Aaron A Cohen-Gadol.   

Abstract

PURPOSE: Preemptive ligation of the thoracic duct (TD) is occasionally performed during cardiothoracic procedures to prevent chylothorax. Landmarks for localizing this structure are thus important to the surgeon during such procedures. One historically used area for identifying this structure in the thorax is Poirier's triangle. The present paper aimed to investigate the relationship of the TD to Poirier's triangle.
METHODS: We evaluated the use of this geometric area in localizing the TD in 35 adult cadavers.
RESULTS: Poirier's triangle was found in all specimens, but the TD was found within the confines of Poirier's triangle in only 17 specimens (45.7%). When not identified in Poirier's triangle, the regional TD was often (28.6%) seen in the interval between the proximal left subclavian and left common carotid arteries.
CONCLUSIONS: These data may be of use to the surgeon when identifying the proximal TD within the thorax.

Mesh:

Year:  2010        PMID: 20480366     DOI: 10.1007/s00276-010-0681-x

Source DB:  PubMed          Journal:  Surg Radiol Anat        ISSN: 0930-1038            Impact factor:   1.246


  12 in total

Review 1.  Management of thoracic duct injuries after oesophagectomy.

Authors:  S A Wemyss-Holden; B Launois; G J Maddern
Journal:  Br J Surg       Date:  2001-11       Impact factor: 6.939

2.  Thoracic duct injury associated with left internal jugular vein catheterization: anatomic considerations.

Authors:  Stephen S Kwon; Abigail Falk; Harold A Mitty
Journal:  J Vasc Interv Radiol       Date:  2002-03       Impact factor: 3.464

3.  Chylothorax: case report and review of the literature.

Authors:  Brian F Chinnock
Journal:  J Emerg Med       Date:  2003-04       Impact factor: 1.484

4.  Thoracic duct variations may complicate the anterior spine procedures.

Authors:  Omer Akcali; Amac Kiray; Ipek Ergur; Suleyman Tetik; Emin Alici
Journal:  Eur Spine J       Date:  2006-03-17       Impact factor: 3.134

5.  Cisterna chyli: a detailed anatomic investigation.

Authors:  Marios Loukas; Christopher T Wartmann; Robert G Louis; R Shane Tubbs; E George Salter; Ankmalika A Gupta; Brian Curry
Journal:  Clin Anat       Date:  2007-08       Impact factor: 2.414

6.  Traumatic chylothorax; a review of the literature and report of a case treated by mediastinal ligation of the thoracic duct.

Authors:  R S LAMPSON
Journal:  J Thorac Surg       Date:  1948-12

7.  Variations of the thoracic duct.

Authors:  P A VAN PERNIS
Journal:  Surgery       Date:  1949-11       Impact factor: 3.982

Review 8.  Thoracoscopic management of chylous fistulae.

Authors:  G C Lapp; D H Brown; P J Gullane; M McKneally
Journal:  Am J Otolaryngol       Date:  1998 Jul-Aug       Impact factor: 1.808

Review 9.  Chylothorax.

Authors:  B A Merrigan; D C Winter; G C O'Sullivan
Journal:  Br J Surg       Date:  1997-01       Impact factor: 6.939

10.  Isolated thoracic duct injury after penetrating chest trauma.

Authors:  M G Worthington; M de Groot; A J Gunning; U O von Oppell
Journal:  Ann Thorac Surg       Date:  1995-08       Impact factor: 4.330

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  2 in total

1.  Anatomical study of the thoracic duct and its clinical implications in thoracic and pediatric surgery, a 70 cases cadaveric study.

Authors:  P Y Rabattu; E Sole Cruz; N El Housseini; A El Housseini; A Bellier; P L Verot; J Cassiba; C Quillot; R Faguet; P Chaffanjon; C Piolat; Y Robert
Journal:  Surg Radiol Anat       Date:  2021-05-29       Impact factor: 1.246

Review 2.  Management options for post-esophagectomy chylothorax.

Authors:  Vaibhav Kumar Varshney; Sunita Suman; Pawan Kumar Garg; Subhash Chandra Soni; Pushpinder Singh Khera
Journal:  Surg Today       Date:  2020-09-17       Impact factor: 2.549

  2 in total

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