Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients
In: The American Surgeon, Jg. 88 (2021-03-04), S. 109-114
Online
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Zugriff:
Background To discuss the prevention and treatment of lymph or chyle leak following neck dissection in patients with thyroid carcinoma. Methods A total of 1724 patients with thyroid carcinoma received neck dissection in the Sun Yat-sen University Cancer Center between November 2009 and October 2014. The incidence and management of leak were analyzed. Results A total of 92 (5.34%) patients developed leak, 28 (1.62%) developed lymph leak, 59 (3.42%) developed chyle leak, and 5 (.29%) developed chylothorax. Medical management to stop postoperative lymph or chyle leak included pressure dressing, reoperation, fasting, or low-fat diet therapy. Conclusions Lymph or chyle leak may occur in thyroid carcinoma patients who underwent neck dissection. Clinicians should alert to leak when there were IV + VI region lymph node metastasis and should become aware of chylothorax after pressure dressing. A careful identification and ligation of lymphatic duct may be an effective way to avoid lymph or chyle leak.
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Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients
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Autor/in / Beteiligte Person: | Wang, Shunlan ; Li, Chunqiao ; Ruan, Yan ; Li, Yin ; Guo, Zhuming ; Wang, Xi ; Liu, Jing |
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Zeitschrift: | The American Surgeon, Jg. 88 (2021-03-04), S. 109-114 |
Veröffentlichung: | SAGE Publications, 2021 |
Medientyp: | unknown |
ISSN: | 1555-9823 (print) ; 0003-1348 (print) |
DOI: | 10.1177/0003134820981723 |
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