Cessation of oral intake and TPN started immediately. The drainage was reduced dramatically in 3 days (from 2150 mL/24 h to 350 mL/24 h) [Fig 1]. On the sixth day, the drainage was 350 mL. On the seventh day, we started subcutaneous administration of octreotide (100 μg bid for the first 2 days and 100 μg tid for the next 6 days), but there was no reduction in the amount of drainage. An aggressive treatment is suggested if chest drainage is > 200 mL/24 h (as occurs in conjunction with video-assisted thoracoscopic surgery or open surgery). However, in our case, we decided to continue the conservative treatment because, although some amount of fluid is normally expected, we had faced a chylothorax after pneumonectomy where the hemithorax was completely empty. On the 15th day, we stopped octreotide administration, and on the 20th day, the chest tube was removed when drainage dropped to 250 mL. We continued the TPN for 4 days (24th day), and on the 23rd day, we started enteral nutrition by a feeding tube with a solution containing medium-chain triglycerides. Daily radiographs revealed normal evolution of the air-liquid level. On the 29th day, the feeding tube was removed, and the patient started oral intake. No complications occurred, and the patient was discharged the 33rd day. He has remained well for 4 months, to the time of this writing.