Anatomical Variations of Cervical Portion of Thoracic Duct and Management of Chyle Leak: Case report And Reviewof The Literature.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
The variable anatomy and fragile composition of the thoracic duct render it prone to inadvertent injury. We reported the cases where we encountered leash of thoracic ducts and anatomical variations of thoracic duct within the neck, while performing neck dissection which were sealed by thermofusion and sectioned with the LigaSure device. Prior papers that specifically endorse a proposed management protocol of chyle leak (CL) are reviewed. A historical context will be used when applicable to further enhance an understanding of the evolution of treatment strategies. Chylous fistula is a bilateral threat and same care should be taken on right as on left. Coagulation and section of the thoracic duct with the LigaSure device appears to be a simple, effective, and safe therapeutic option for CL in cervical region. In case of CL early diagnosis and aggressive treatment essential to avoid local and systemic complications that prolongs hospitalization.
Authors and Affiliations
Dr Abhijit S. Powar, Dr Prashant P. Lad
Keywords
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- EP ID EP381265
- DOI 10.9790/0853-1708090615.
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