Treatment for Chylous Fistula after Neck Dissection with Adhesive Vacuum Assisted Washing and Aspiration_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Shaoquan , L Yunxiao , WANG Lie.

Department of General Surgery, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, Fujian Province, China;

Corresponding author：

Keywords：

Neck dissection; Chylous fistula; Adhesive vacuum

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ObjectiveTo evaluate the role of the treatment for chylous fistula after neck dissection with adhesive vacuum assisted washing and aspiration. MethodsFrom January 2004 to December 2010, 20 patients with chylous fistula after neck dissection treated with adhesive vacuum assisted washing and aspiration were reviewed. ResultsEighteen of 20 recovered in 10 to 12 days’ treatment without any complications. Drainage volume bagan to decrease noticeably in 5 days. Two patients needed reoperation and were discharged on day 15 and 17 respectively after operation. ConclusionThe treatment with adhesive vacuum assisted washing and aspiration is a safe and effective way for chylous fistula after neck dissection.

Citation： CHEN Shaoquan,L Yunxiao,WANG Lie.. Treatment for Chylous Fistula after Neck Dissection with Adhesive Vacuum Assisted Washing and Aspiration. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(10): 1084-1086. doi: Copy

1.	Rollon A, Salazar C, Mayorga F, et al. Severe cervical chyle fistula after radical neck dissection [J]. Int J Oral Maxillofac Surg, 1996, 25(5): 363365.
2.	郑泽霖, 孙辉, 盖宝东. 甲状腺疾病外科治疗的热点和难点 [J]. 中国普外基础与临床杂志, 2008, 15（5）: 307310.
3.	López Otero MJ, Fernández López MT, Outeirio Blanco E, et al. Neck chylous fistula: conservative treatment [J]. Nutr Hosp, 2010, 25(6): 10411044.
4.	Kupferman ME, Patterson DM, Mandel SJ, et al. Safety of modified radical neck dissection for differentiated thyroid carcinoma [J]. Laryngoscope, 2004, 114(3): 403406.
5.	Raguse JD, Pfitzmann R, Bier J, et al. Lowerextremity lymphedema following neck dissection-an uncommon complication after cervical ligation of the thoracic duct [J]. Oral Oncol, 2007, 43(8): 835837.
6.	宋文哲, 郭萌. 甲状腺癌颈淋巴结清扫术后乳糜漏的防治（附19例报道） [J]. 中国普外基础与临床杂志, 2009, 16(5): 360361.
7.	魏涛, 张国勇, 张明. 超声刀颈淋巴结清扫术后乳糜瘘 [J]. 中国普外基础与临床杂志, 2011, 18(4): 411413.
8.	谢树夺, 陈文军, 秦川, 等. 内镜辅助生物胶黏合治疗颈部乳糜瘘二例 [J]. 中华普通外科杂志, 2007, 22(5): 331.
9.	王圣应, 王镇寰, 张荣新. 颈段胸导管的临床应用解剖研究 [J]. 淮海医药, 2000, 18(4): 241242.
10.	沐旭升. 胸导管颈段的应用解剖 [J]. 福建医学院学报, 1990, 24(1): 9395.
11.	Van Pernis PA. Variations of the thoracic duct [J]. Surgery, 1949, 26(5): 806809.
12.	Smoke A, Delegge MH. Chyle leaks: consensus on management? [J]. Nutr Clin Pract, 2008, 23(5): 529532．.
13.	李正江, 唐平章. 颈廓清术后乳糜瘘的治疗及预防 [J]. 中华耳鼻咽喉科杂志, 1998, 33(4): 244246.
14.	Nussenbaum B, Liu JH, Sinard RJ. Systematic management of chyle fistula: the Southwestern experience and review of the literature [J]. Otolaryngol Head Neck Surg, 2000, 122(1): 3138.
15.	Scorza LB, Goldstein BJ, Mahraj RP. Modern management of chylous leak following head and neck surgery: a discussion of percutaneous lymphangiographyguided cannulation and embolization of the thoracic duct [J]. Otolaryngol Clin North Am, 2008, 41(6): 12311240.
16.	陈雪敏, 李加枝. 甲状腺癌术后并发颈淋巴漏22例分析 [J]. 浙江临床医学, 2002, 4(1): 22.
17.	陈少全, 王振发, 王烈, 等. 封闭式负压冲洗器治疗甲状腺癌根治术后严重乳糜漏1例 [J]. 中国普通外科杂志， 2007, 16(11): 1136.

1. Rollon A, Salazar C, Mayorga F, et al. Severe cervical chyle fistula after radical neck dissection [J]. Int J Oral Maxillofac Surg, 1996, 25(5): 363365.
2. 郑泽霖, 孙辉, 盖宝东. 甲状腺疾病外科治疗的热点和难点 [J]. 中国普外基础与临床杂志, 2008, 15（5）: 307310.
3. López Otero MJ, Fernández López MT, Outeirio Blanco E, et al. Neck chylous fistula: conservative treatment [J]. Nutr Hosp, 2010, 25(6): 10411044.
4. Kupferman ME, Patterson DM, Mandel SJ, et al. Safety of modified radical neck dissection for differentiated thyroid carcinoma [J]. Laryngoscope, 2004, 114(3): 403406.
5. Raguse JD, Pfitzmann R, Bier J, et al. Lowerextremity lymphedema following neck dissection-an uncommon complication after cervical ligation of the thoracic duct [J]. Oral Oncol, 2007, 43(8): 835837.
6. 宋文哲, 郭萌. 甲状腺癌颈淋巴结清扫术后乳糜漏的防治（附19例报道） [J]. 中国普外基础与临床杂志, 2009, 16(5): 360361.
7. 魏涛, 张国勇, 张明. 超声刀颈淋巴结清扫术后乳糜瘘 [J]. 中国普外基础与临床杂志, 2011, 18(4): 411413.
8. 谢树夺, 陈文军, 秦川, 等. 内镜辅助生物胶黏合治疗颈部乳糜瘘二例 [J]. 中华普通外科杂志, 2007, 22(5): 331.
9. 王圣应, 王镇寰, 张荣新. 颈段胸导管的临床应用解剖研究 [J]. 淮海医药, 2000, 18(4): 241242.
10. 沐旭升. 胸导管颈段的应用解剖 [J]. 福建医学院学报, 1990, 24(1): 9395.
11. Van Pernis PA. Variations of the thoracic duct [J]. Surgery, 1949, 26(5): 806809.
12. Smoke A, Delegge MH. Chyle leaks: consensus on management? [J]. Nutr Clin Pract, 2008, 23(5): 529532．.
13. 李正江, 唐平章. 颈廓清术后乳糜瘘的治疗及预防 [J]. 中华耳鼻咽喉科杂志, 1998, 33(4): 244246.
14. Nussenbaum B, Liu JH, Sinard RJ. Systematic management of chyle fistula: the Southwestern experience and review of the literature [J]. Otolaryngol Head Neck Surg, 2000, 122(1): 3138.
15. Scorza LB, Goldstein BJ, Mahraj RP. Modern management of chylous leak following head and neck surgery: a discussion of percutaneous lymphangiographyguided cannulation and embolization of the thoracic duct [J]. Otolaryngol Clin North Am, 2008, 41(6): 12311240.
16. 陈雪敏, 李加枝. 甲状腺癌术后并发颈淋巴漏22例分析 [J]. 浙江临床医学, 2002, 4(1): 22.
17. 陈少全, 王振发, 王烈, 等. 封闭式负压冲洗器治疗甲状腺癌根治术后严重乳糜漏1例 [J]. 中国普通外科杂志， 2007, 16(11): 1136.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Treatment for Chylous Fistula after Neck Dissection with Adhesive Vacuum Assisted Washing and Aspiration

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