Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients
- PMID: 33662220
- DOI: 10.1177/0003134820981723
Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients (VSports注册入口)
Abstract
Background: To discuss the prevention and treatment of lymph or chyle leak following neck dissection in patients with thyroid carcinoma. VSports手机版.
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 V体育安卓版. 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 V体育ios版. 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 VSports最新版本. A careful identification and ligation of lymphatic duct may be an effective way to avoid lymph or chyle leak. .
Keywords: chyle leak; lymph leak; neck dissection; postoperative complications; thyroid carcinoma V体育平台登录. .
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