Thoracic duct lesions in thyroid surgery: An update on diagnosis, treatment and prevention based on a cohort study
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- 作者：Andrea Polistenaa ; apolis74@yahoo.it" class="auth_mail" title="E-mail the corresponding author ; Jacopo Vannuccib ; jacopo.vannucci@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Massimo Monacellib ; massimo.monacelli@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Roberta Lucchinia ; robertalucchini@alice.it" class="auth_mail" title="E-mail the corresponding author ; Alessandro Sanguinettia ; alessandrosanguinetti@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Stefano Aveniaa ; stefano_avenia@libero.it" class="auth_mail" title="E-mail the corresponding author ; Stefano Santopreteb ; stefanosantoprete@alice.it" class="auth_mail" title="E-mail the corresponding author ; Roberta Triolaa ; triolaroberta@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Roberto Cirocchia ; roberto.cirocchi@unipg.it" class="auth_mail" title="E-mail the corresponding author ; Francesco Pumab ; francesco.puma@unipg.it" class="auth_mail" title="E-mail the corresponding author ; Nicola Aveniaa ; nicolaavenia@libero.it" class="auth_mail" title="E-mail the corresponding author
- 关键词：Thoracic duct ; Chylous fistula ; Thyroid-surgery
- 刊名：International Journal of Surgery
- 出版年：2016
- 出版时间：April 2016
- 年：2016
- 卷：28
- 期：supp_S1
- 页码：S33-S37
- 全文大小：210 K
文摘
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Thoracic duct injury at cervical level is a rare complication following thyroid surgery.
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Thoracic duct injury is associated to lateral neck dissection and thyroidectomy for mediastinal goiter.
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Conservative treatment is the first option with parenteral nutrition and wound dressing.
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High flow fistula, chyloma, cutaneous inflammation and necrosis, chylothorax are indications to surgery.
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Duct ligation after unsuccessful conservative treatment is the only resolutive treatment of cervical chylous fistula.