Non-surgical approach to the thoracic duct: a technique whose time has come
Garcia and co-authors are to be commended for their success in alleviating the chylous leak in this patient who had suffered through numerous previous attempts at resolving the problem. The fact that the initial surgical procedure to resect a lymphangioma was interrupted owing to a large amount of chyle leaking from the tumor bed clearly presaged the problem that would haunt this patient for the next nine months. There can be no question that it is way more preferable to avoid and prevent chyle leaks than trying to fix a chyle leak. That being said recent advances in minimally invasive techniques and specifically the ability to embolize the thoracic duct with coils and glue have been literally “lifesavers”.