Treating external chylous fistula with retroperitoneal lymphangiectomy plus lymph-vein shunting.
- Author:
Yingxian SUN
1
;
Wenbin SHEN
;
Wande GENG
;
Guofu WU
;
Yuguang SUN
;
Song XIA
Author Information
- Publication Type:Journal Article
- MeSH: Chyle; Fistula; Humans
- From: Chinese Journal of Preventive Medicine 2002;36(7):508-510
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo discuss the diagnosis and therapy of chylous reflux and external chylous fistula.
METHODSAll of 6 patients were diagnosed with direct lymphagiography, lymphscintigraphy. Among them, 2 patients received CT after direct lymphagiography. Retroperitoneal lymphangiectomy plus lymph-vein shunting was performed in 5 patients, and retroperitoneal lymphangiectomy in 1 patient.
RESULTSThe 6 patients were followed up from 6 months to 6 years. In 5 patients, chylous cysts disappeared and chylous fistula closed, and in 1 patient, chylous fistula didn't cicatrize, and chyle still leak out from the scrotum.
CONCLUSIONSRetroperitoneal lymphangiectomy plus lymph-vein shunting has curative effect on chylous external fistula of the lower extremity and genitalia, but it has the chance to not obstruct all paths of chylous reflex.
