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. 2022 Jan;88(1):109-114.
doi: 10.1177/0003134820981723. Epub 2021 Mar 4.

Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients

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Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients (VSports注册入口)

"V体育安卓版" Xi Wang et al. Am Surg. 2022 Jan.

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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