Prevention and treatment of chylous leakage after Whipple operation
10.3760/cma.j.issn.1007-631X.2014.05.006
- VernacularTitle:胰十二指肠切除术后乳糜漏的预防与治疗
- Author:
Weiping JI
;
Juan WANG
;
Zhuo SHAO
;
Gang JIN
- Publication Type:Journal Article
- Keywords:
Pancreatoduodenectomy;
Postoperative complications;
Chyle
- From:
Chinese Journal of General Surgery
2014;29(5):348-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the prevention and treatment of chylous leakage after Whipple operation.Methods Clinical data of 381 patients underwent Whipple operation from Jan 2010 to march 2013 were retrospectively analyzed.Results Among 381 patients,23 patients had chylous leakage,the incidence was 6.04％.While in 89 patients,in which intraoperative precautionary physical ligation or mattress suturing of the lymphatic vessels were undertaken,no chyle leakage occurred ; Most of chyle leakage occurred in malignant tumor after radical resection(21 patients),most chylous leakage was found 5-8 days after surgery,with daily volume of 260-450 ml.All patients of chylous leakage were cured by conservative treatment.Conclusions Chylous leakage are common in PD.Intraoperative preventive measures such as lymphatic duct ligation or safe suturing can effectively prevent chyle leakage.Conservative therapy heals most chylous leakage after Whipple operation.
