The development of video-assisted thoracoscopy has changed the practice of
thoracic surgery. This report describes a 20-year-old man who successfully
underwent thoracoscopic thoracic duct ligation and partial pericardiectomy
for primary chylopericardium. We recommend a right-sided thoracoscopic appr
oach to the thoracic duct in the lower thoracic cavity. (C) 2000 by The Soc
iety of Thoracic Surgeons.