Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Variations in the Terminal Portion of the Human Thoracic Duct

Variations in the Terminal Portion of the Human Thoracic Duct Abstract Many modern surgical procedures involve the area near the distal portion of the thoracic duct, in both the neck and the upper mediastinal area. The distal portion of the duct is the most commonly injured, resulting in either a chylothorax or a chylous fistula unless recognized at the time of injury and repaired. Such injuries have been reported as complications of block dissections in the neck for tuberculous nodes or malignant tumor, scaleniotomy, esophageal resection, the Blalock operation for congenital pulmonary stenosis, radical breast amputation, operation for left-sided torticolis and during left phrenicoexeresis.* Anatomical studies have indicated that variations occur which may account for some of the injuries.9 Methods used to investigate the variations have included x-ray visualization of the duct18 and cadaver dissections.† Seventy-five cadavers used for anatomical dissection by the medical students of the University of Tennessee during the years 1950 through 1953 were studied for References 1. References 4, 5, 8, 15, 17, 21, and 22. 2. References 9 and 20. 3. References 14 and 16. 4. References 1-3. 5. References 6, 7, 10, 12, 13, 19, and 23. 6. References 9, 18, and 20. 7. Anson, B. J.; Morgan, E. H., and McVay, C. B.: The Anatomy of the Hernial Regions: I. Inguinal Hernia , Surg. Gynec. & Obst. 89:417-423 ( (Oct.) ) 1949. 8. Anson, B. J.; Reimann, A. F., and Swigart, L. L.: Anatomy of Hernial Regions: II. Femoral Hernia , Surg. Gynec. & Obst. 89:753-763 ( (Dec.) ) 1949. 9. Anson, B. J.; McCormack, L. J., and Cleveland, H. C.: The Anatomy of the Hernial Regions: III. Obturator Hernia and General Considerations , Surg. Gynec. & Obst. 90:31-38 ( (Jan.) ) 1950. 10. Barnes, H. A.: Scalenus Anticus Syndrome , U. S. Nav. M. Bull. 44:773-776 ( (April) ) 1945. 11. Bressler, S.; Wiener, D., and Thompson, S. A.: Traumatic Chylothorax Following Esophageal Resection , J. Thoracic Surg. 26:321-324 ( (Sept.) ) 1953. 12. Carey, J. M., and Hollinshead, W. H.: An Anatomic Study of the Esophageal Hiatus , Surg. Gynec. & Obst. 100:196-200 ( (Feb.) ) 1955. 13. Cauldwell, E. W.; Siekert, R. G.; Lininger, R. E., and Anson, B. J.: The Bronchial Arteries: Anatonic Study of 150 Human Cadavers , Surg. Gynec. & Obst. 86:395-412 ( (April) ) 1948. 14. Cushing, H.: Operative Wounds of the Thoracic Duct: Report of a Case with Suture of the Duct , Am. Surgeon 27:719-728, 1898. 15. Davis, H. K.: Statistical Study of Thoracic Duct in Man , Am. J. Anat. 17:211-244 ( (Jan.) ) 1915. 16. Doubilet, H.; Shafiroff, B.G.P., and Mulholland, J. H.: The Anatomy of the Periesophageal Vagi , Ann. Surg. 127:128-135 ( (Jan.) ) 1948. 17. Douglass, B. E.; Baggenstoss, A. H., and Hollinshead, W. H.: The Anatomy of the Portal Vein and its Tributaries , Surg. Gynec. & Obst. 91:562-576 ( (Nov.) ) 1950. 18. Edwards, E. A., and Robuck, J. D., Jr.: Applied Anatomy of the Femoral Vein and Its Tributaries , Surg. Gynec. & Obst. 85:547-557 ( (Nov.) ) 1947. 19. Gross, R. E., and Ware, P. F.: The Surgical Significance of Aortic Arch Anomolies , Surg. Gynec. & Obst. 83:435-448 ( (Oct.) ) 1946. 20. Hicken, N. F.; Coray, Q. B., and Franz, B.: Anatomic Variations of the Extrahepatic Biliary System as Seen by Cholangiographic Studies , Surg. Gynec. & Obst. 88:577-584 ( (May) ) 1949. 21. Hodge, G. B., and Bridges, H.: Surgical Management of Thoracic Duct Injuries: Experimental Study with Clinical Application , Surgery 24:805-810 ( (Nov.) ) 1948. 22. Johnston, E. V., and Anson, B. J.: Variations in the Formation and Vascular Relationships of the Bile Ducts , Surg. Gynec. & Obst. 94:669-686 ( (June) ) 1952. 23. Koon, E.: Injury During Operation for Left Sided Torticolis , Zentralbl. Chir. 70:840 ( (June) ) 1943. 24. Kornblum, D.: Attempt of Roentgenographic Visualization of Thoracic Duct and Cisterna Chyli , Radiology 39:395-399 ( (Oct.) ) 1942. 25. Lowenberg, R. I., and Morton, D. E.: The Anatomic and Surgical Significance of the Lumbar Sympathetic Nervous System , Ann. Surg. 133:525-532 ( (April) ) 1951. 26. Lowman, R. M.; Hoogerhyde, J.; Waters, R. L., and Grant, C.: Traumatic Chylothorax: Roentgen Aspects of This Problem Am. J. Roentgenol. 65:529-546 ( (April) ) 1951. 27. Olim, C. B.: Experiences in the Surgical Treatment of Congenital Pulmonary Stenosis , Am. Surgeon 17:245-254 ( (March) ) 1951. 28. Porta, G.: Injury During Phrenico-Exeresis in Pulmonary Tuberculosis , Ann. 1st. Calvo Forlanini 4:175-182 ( (March-April) ) 1940. 29. Swigart, L. L.; Siekert, R. G.; Hambley, W. C., and Anson, B. J.: The Esophageal Arteries: Anatomic Study of 150 Specimens , Surg. Gynec. & Obst. 90:234-243 ( (Feb.) ) 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Variations in the Terminal Portion of the Human Thoracic Duct

Loading next page...
 
/lp/american-medical-association/variations-in-the-terminal-portion-of-the-human-thoracic-duct-xmIdvuLIAY
Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1956.01280060055012
Publisher site
See Article on Publisher Site

Abstract

Abstract Many modern surgical procedures involve the area near the distal portion of the thoracic duct, in both the neck and the upper mediastinal area. The distal portion of the duct is the most commonly injured, resulting in either a chylothorax or a chylous fistula unless recognized at the time of injury and repaired. Such injuries have been reported as complications of block dissections in the neck for tuberculous nodes or malignant tumor, scaleniotomy, esophageal resection, the Blalock operation for congenital pulmonary stenosis, radical breast amputation, operation for left-sided torticolis and during left phrenicoexeresis.* Anatomical studies have indicated that variations occur which may account for some of the injuries.9 Methods used to investigate the variations have included x-ray visualization of the duct18 and cadaver dissections.† Seventy-five cadavers used for anatomical dissection by the medical students of the University of Tennessee during the years 1950 through 1953 were studied for References 1. References 4, 5, 8, 15, 17, 21, and 22. 2. References 9 and 20. 3. References 14 and 16. 4. References 1-3. 5. References 6, 7, 10, 12, 13, 19, and 23. 6. References 9, 18, and 20. 7. Anson, B. J.; Morgan, E. H., and McVay, C. B.: The Anatomy of the Hernial Regions: I. Inguinal Hernia , Surg. Gynec. & Obst. 89:417-423 ( (Oct.) ) 1949. 8. Anson, B. J.; Reimann, A. F., and Swigart, L. L.: Anatomy of Hernial Regions: II. Femoral Hernia , Surg. Gynec. & Obst. 89:753-763 ( (Dec.) ) 1949. 9. Anson, B. J.; McCormack, L. J., and Cleveland, H. C.: The Anatomy of the Hernial Regions: III. Obturator Hernia and General Considerations , Surg. Gynec. & Obst. 90:31-38 ( (Jan.) ) 1950. 10. Barnes, H. A.: Scalenus Anticus Syndrome , U. S. Nav. M. Bull. 44:773-776 ( (April) ) 1945. 11. Bressler, S.; Wiener, D., and Thompson, S. A.: Traumatic Chylothorax Following Esophageal Resection , J. Thoracic Surg. 26:321-324 ( (Sept.) ) 1953. 12. Carey, J. M., and Hollinshead, W. H.: An Anatomic Study of the Esophageal Hiatus , Surg. Gynec. & Obst. 100:196-200 ( (Feb.) ) 1955. 13. Cauldwell, E. W.; Siekert, R. G.; Lininger, R. E., and Anson, B. J.: The Bronchial Arteries: Anatonic Study of 150 Human Cadavers , Surg. Gynec. & Obst. 86:395-412 ( (April) ) 1948. 14. Cushing, H.: Operative Wounds of the Thoracic Duct: Report of a Case with Suture of the Duct , Am. Surgeon 27:719-728, 1898. 15. Davis, H. K.: Statistical Study of Thoracic Duct in Man , Am. J. Anat. 17:211-244 ( (Jan.) ) 1915. 16. Doubilet, H.; Shafiroff, B.G.P., and Mulholland, J. H.: The Anatomy of the Periesophageal Vagi , Ann. Surg. 127:128-135 ( (Jan.) ) 1948. 17. Douglass, B. E.; Baggenstoss, A. H., and Hollinshead, W. H.: The Anatomy of the Portal Vein and its Tributaries , Surg. Gynec. & Obst. 91:562-576 ( (Nov.) ) 1950. 18. Edwards, E. A., and Robuck, J. D., Jr.: Applied Anatomy of the Femoral Vein and Its Tributaries , Surg. Gynec. & Obst. 85:547-557 ( (Nov.) ) 1947. 19. Gross, R. E., and Ware, P. F.: The Surgical Significance of Aortic Arch Anomolies , Surg. Gynec. & Obst. 83:435-448 ( (Oct.) ) 1946. 20. Hicken, N. F.; Coray, Q. B., and Franz, B.: Anatomic Variations of the Extrahepatic Biliary System as Seen by Cholangiographic Studies , Surg. Gynec. & Obst. 88:577-584 ( (May) ) 1949. 21. Hodge, G. B., and Bridges, H.: Surgical Management of Thoracic Duct Injuries: Experimental Study with Clinical Application , Surgery 24:805-810 ( (Nov.) ) 1948. 22. Johnston, E. V., and Anson, B. J.: Variations in the Formation and Vascular Relationships of the Bile Ducts , Surg. Gynec. & Obst. 94:669-686 ( (June) ) 1952. 23. Koon, E.: Injury During Operation for Left Sided Torticolis , Zentralbl. Chir. 70:840 ( (June) ) 1943. 24. Kornblum, D.: Attempt of Roentgenographic Visualization of Thoracic Duct and Cisterna Chyli , Radiology 39:395-399 ( (Oct.) ) 1942. 25. Lowenberg, R. I., and Morton, D. E.: The Anatomic and Surgical Significance of the Lumbar Sympathetic Nervous System , Ann. Surg. 133:525-532 ( (April) ) 1951. 26. Lowman, R. M.; Hoogerhyde, J.; Waters, R. L., and Grant, C.: Traumatic Chylothorax: Roentgen Aspects of This Problem Am. J. Roentgenol. 65:529-546 ( (April) ) 1951. 27. Olim, C. B.: Experiences in the Surgical Treatment of Congenital Pulmonary Stenosis , Am. Surgeon 17:245-254 ( (March) ) 1951. 28. Porta, G.: Injury During Phrenico-Exeresis in Pulmonary Tuberculosis , Ann. 1st. Calvo Forlanini 4:175-182 ( (March-April) ) 1940. 29. Swigart, L. L.; Siekert, R. G.; Hambley, W. C., and Anson, B. J.: The Esophageal Arteries: Anatomic Study of 150 Specimens , Surg. Gynec. & Obst. 90:234-243 ( (Feb.) ) 1950.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1956

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month