Lymphatic leakage after neck dissection for thyroid cancer: an analysis of 39 cases

Jie Mei; Xinliang Su

doi:10.16016/j.1000-5404.201608138

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Lymphatic leakage after neck dissection for thyroid cancer: an analysis of 39 cases

更新时间：2026-01-09

- Lymphatic leakage after neck dissection for thyroid cancer: an analysis of 39 cases
- J Third Mil Med Univ Vol. 39, Issue 4, Pages: 385-389(2017)
- 作者机构：
- 作者简介：
- 基金信息：
  
  the Project of Scientific Research of Chongqing Municipal Health Bureau(2010-2-017)
- DOI：10.16016/j.1000-5404.201608138
  CLC：
- Received：24 August 2016，
  
  Published：28 February 2017
- 稿件说明：
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Jie Mei, Xinliang Su. Lymphatic leakage after neck dissection for thyroid cancer: an analysis of 39 cases[J]. J Third Mil Med Univ, 2017, 39(4): 385-389.
DOI：

Jie Mei, Xinliang Su. Lymphatic leakage after neck dissection for thyroid cancer: an analysis of 39 cases[J]. J Third Mil Med Univ, 2017, 39(4): 385-389. DOI： 10.16016/j.1000-5404.201608138.

摘要

Abstract

Objective

To discuss the prevention and management of postoperative lymphatic leakage after neck dissection in patients with thyroid cancer.

Method

Retrospective review was performed in 1 104 cases of patients with thyroid cancer who underwent neck dissection in our from January 2013 to December 2015．Clinical data of the patients with postoperative lymphatic leakage were summarized and analyzed.

Result

Thirty-nine cases developed lymphatic leakage after neck dissection，accounting for 3.5% of total cases. Among them

27 cases were mild

3 cases were moderate

and 9 cases were severe.The patients who underwent left-sided neck dissection were more likely to occur lymphatic leakage than the patients who had the dissection in the right-side neck. The majority of patients were cured by a variety of conservative treatments

except 2 severe cases. Both underwent reoperation

and one of them were treated with local injection of pseudomonas aeruginosa after the failure of reoperation. No complications such as infection or serious water-electrolyte disorder occurred.

Conclusion

Prevention plays a key role in the management of lymphatic leakage，particularly in the left-sided neck dissection. Most patients can be cured by conservative treatment including continuous negative pressure drainage and pumping of somatostatin

and combination of intracavitary injection of pseudomonas aeruginosa enables to accelerate the closure of chylous fistula. In a few patients with longer duration of lymphatic leakage，large volume of drainage and failed conservative therapy

reoperation is considered but with special caution due to high risk of surgery.

关键词

Keywords

references

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