乳糜
医学
颈淋巴结清扫术
外科
解剖(医学)
甲状腺癌
淋巴结
甲状腺切除术
保守管理
入射(几何)
甲状腺
癌症
并发症
内科学
光学
物理
作者
Inhye Park,Nayoon Her,Jun-Ho Choe,Jee Soo Kim,Jung-Han Kim
出处
期刊:Head & neck
[Wiley]
日期:2017-11-09
卷期号:40 (1): 7-15
被引量:32
摘要
Abstract Background The purpose of this study was to evaluate the incidence and pattern of chyle leakage after thyroidectomy and/or cervical lymph node dissection and to establish management protocols for chyle leakage. Methods Patients who underwent surgical management for thyroid cancer were analyzed retrospectively. Results For this study, 131 patients with chyle leakage were identified; the overall incidence was 0.9%. Of them, 43.7% of patients underwent central neck dissection without lateral neck dissection, and chyle leakage was easily controlled with conservative management. Patients whose chyle drainage was reduced by >50% after dietary modification had a significantly shorter hospital stay ( P < .001); NPO was the most effective dietary modification. Conclusion The occurrence of chyle leakage after central compartment dissection even without lateral neck dissection was not rare, but was easily controlled with conservative management. Surgical management should be considered if the drainage amount does not decrease by >50% of the original amount of the day of detection after 2 days of NPO.
科研通智能强力驱动
Strongly Powered by AbleSci AI