Thoracic Duct Fistula after Thyroid Cancer Surgery: Towards a New Treatment?
نویسندگان
چکیده
The use of somatostatin analogs is a new conservative therapeutic approach for the treatment of chyle fistulas developing after thyroid cancer surgery. The combination therapy with a total parenteral nutrition should avoid the high morbidity of a re-intervention with an uncertain outcome. This promising trend is supported by the present case report of a chyle leak occurring after total thyroidectomy with central and lateral neck dissection for a papillary carcinoma, which was treated successfully without immediate or distant sequelae.
منابع مشابه
Thoracoscopic management of thoracic duct injury: Is there a place for conservatism?
Thoracic duct injury is a rare but serious complication following chest surgeries and major neck dissections. Clinically, it can present as cervical chylous fistula, chylothorax or chylopericardium. Without treatment, the mortality is up to 50% and thus, early aggressive therapy is indicated. Traditional conservative management includes low-fat diet, parenteral nutrition, careful monitoring of ...
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OBJECTIVE Chylous fistulas can occur after neck surgery. Both nonoperative measures and direct fistula ligation may lead to fistula resolution. However, a refractory fistula requires upstream thoracic duct ligation. This can be accomplished minimally invasively. Success depends on lymphatic flow interruption where the duct enters the thorax. We report on the utility of frozen section confirmati...
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The thyroid gland arises from the foramen cecum and descends in the neck to its final resting place in the pretracheal space. An anomaly in this descent might leave space in the tract, which leads to the formation of the thyroglossal duct cyst (TGDC). It is estimated that around 7% of the adult population have a persistent duct, therefore, leading to the formation of TGDC. This cyst is lined by...
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متن کامل[Chylous leakage--rare but still dangerous complication after neck surgery].
UNLABELLED latrogenic damage to the thoracic duct or large blood vessels in the neck lymph nodes, the operations carried out in the lower regions of the neck, especially the left, unfortunately, it happens even in experienced hands, because their intersection is often required for resection. It is essential to early diagnosis of complications, the best time yet in operation, which will help pre...
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عنوان ژورنال:
دوره 4 شماره
صفحات -
تاریخ انتشار 2011