PMC5686039_01
The volume of left thoracic drainage was increasing up to 2115 mL on the 5th postoperative day. POD: postoperative day   right pleural effusion   left pleural effusion.
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While the volume of the right thoracic drainage was decreasing daily, the volume of left thoracic drainage increased to 2115 mL on the fifth postoperative day (POD; Fig. 1).
The chylous leakage point (black arrow) was easily found near the stump of thoracic duct. Milky lymphatic fluid was dropping from it. **Aorta ****Greater omentum.
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The leakage point was easily found in a prone position as the milky fluid trickling from above (Fig. 2).
The thoracic duct dissected (black arrows) was ligated with 11 mm titanium clips below the leakage point. **Aorta ****Gastric tube.
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Then, we performed mass ligation of the thoracic duct with 11-mm titanium clips below the leakage point after careful dissection (Fig. 3, Fig. 4).