Analysis on 21 cases of chylous fistula after neck lymph nodes dissection
10.3969/j.issn.1671-8348.2015.14.012
- VernacularTitle:颈淋巴结清扫术后乳糜漏21例分析
- Author:
Zhenhua LI
;
Jiahua GE
;
Xi TANG
;
Jian WU
;
Guo YE
;
Yulian ZHANG
;
Chuang HUANG
;
Xiaohong ZHOU
- Publication Type:Journal Article
- Keywords:
neck lymph node dissection;
chylous fistula;
somatostatin
- From:
Chongqing Medicine
2015;(14):1904-1905
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the prevention and management method for chylous fistula after neck lymph node dissec‐tion .Methods Totally 1 793 cases of neck lymph node dissection in this department from January 2005 to September 2014 were retrospectively analyzed .The clinical data in the cases of chylous fistula occurred after operation were summarized .Results Twenty one cases of chylous fistula occurred ,accounting for 1 .17% ,in which 13 cases were cured by the local compressed bandaging and continuous negative pressure drainage;5 cases adopted the conventional method for 2-3 d ,but under the ineffective condition ,then they were treated by combining with somatostatin pumping (somatostatin 6 mg+0 .9% normal saline 48 mL ,2 mL/h ,lasting for 24 h ,for successive 2-3 d) and finally cured;3 cases were cured after reoperation .Conclusion Prevention is the best treatment for chylous fistulas ,local compression bandage plus continuous negative pressure drainage is the main method for treatment of chylous fistulas after neck dissection .The combined therapy with somatostatin can increase the close rate of chylous fistulas;for the patients with long persistent time ,large drainage volume and invalid conservative therapy should adopt the remedial measure of operation .
