High output chyle leak after neck surgery: the role of video-assisted thoracoscopic surgery

被引：25

作者：

Abdel-Galil, Khalid ^{[1
]}

Milton, Richard ^{[2
]}

McCaul, James ^{[1
]}

机构：

[1] St Lukes Hosp, Bradford Teaching Hosp, NHS Fdn Trust, Bradford BD5 0NA, W Yorkshire, England

[2] St James Univ Hosp, Leeds Teaching Hosp, NHS Trust, Leeds LS9 7TF, W Yorkshire, England

来源：

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY | 2009年 / 47卷 / 06期

关键词：

Video-assisted thoracoscopic surgery; Thoracic duct; Chylous fistula; THORACIC-DUCT; MANAGEMENT; DISSECTION; FISTULAS;

D O I：

10.1016/j.bjoms.2009.04.030

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Injury to the thoracic duct leading to formation of a chylous fistula is art infrequent but serious complication of major neck surgery that can result in a prolonged stay in hospital and fluid, lead to fluid, electrolyte, protein, and immune disturbances. Healing can also be impaired. We describe a case where an excessive chylous leak also contributed to the failure of two free flaps in the same patient, and we make recommendations regarding management of patients with free tissue transfer where this complication arises. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：478 / 480

页数：3

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