Cervical lymphatic fistula is a severe but rare complication after thyroid surgery. It appears to be more common during radical or functional lymphatic dissection of the posterior triangle and V level. In the period from January 1989 to December 2013, 16 cervical chylous fistulas have been treated in our Department. Seven fistulas happened in our clinical practice while 9 were referred to our service from other hospitals. Five/19 followed total thyroidectomy, 1/19 was related to bilateral neck lymphectomy while monolateral lymphnode dissection was performed before the onset of the remaining 10 fistulas. The finding of an active lymphatic leak allowed a prompt surgical repair in 2 cases. Among the 5 cases of "low-flow" fistula, 4 healed after conservative therapy but 1 required surgery. Out of the 9 cases of "high-flow" fistula, 5 were submitted to surgery during the first post-operative week, 1 between the first and the second week, and 3 between the 15th and 30th postoperative day. Right supra-diaphragmatic lymphatic duct ligation was performed once by videothoracoscopic approach.
Cervical thoracic duct injury. Our experience / Monacelli, M.; Lucchini, R.; Vannucci, J.; Santoprete, S.; Triola, R.; Avenia, S.; Barillaro, I.; Sanguinetti, A.; Puma, F.; Avenia, N.. - In: MINERVA CHIRURGICA. - ISSN 0026-4733. - 69:2(2014), pp. 35-40. (Intervento presentato al convegno Strategie terapeutiche in chirurgia endocrina tenutosi a Napoli).
Cervical thoracic duct injury. Our experience
Vannucci J.
;
2014
Abstract
Cervical lymphatic fistula is a severe but rare complication after thyroid surgery. It appears to be more common during radical or functional lymphatic dissection of the posterior triangle and V level. In the period from January 1989 to December 2013, 16 cervical chylous fistulas have been treated in our Department. Seven fistulas happened in our clinical practice while 9 were referred to our service from other hospitals. Five/19 followed total thyroidectomy, 1/19 was related to bilateral neck lymphectomy while monolateral lymphnode dissection was performed before the onset of the remaining 10 fistulas. The finding of an active lymphatic leak allowed a prompt surgical repair in 2 cases. Among the 5 cases of "low-flow" fistula, 4 healed after conservative therapy but 1 required surgery. Out of the 9 cases of "high-flow" fistula, 5 were submitted to surgery during the first post-operative week, 1 between the first and the second week, and 3 between the 15th and 30th postoperative day. Right supra-diaphragmatic lymphatic duct ligation was performed once by videothoracoscopic approach.File | Dimensione | Formato | |
---|---|---|---|
Monacelli_cervical-duct-injury_2014.pdf
solo gestori archivio
Tipologia:
Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza:
Tutti i diritti riservati (All rights reserved)
Dimensione
413.35 kB
Formato
Adobe PDF
|
413.35 kB | Adobe PDF | Contatta l'autore |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.