학술논문
MANAGEMENT OF CHYLE LEAK FOLLOWING HEAD AND NECK SURGERY: REVIEW OF CURRENT TREATMENT STRATEGIES AND ALGORITHMIC APPROACH TO THE TREATMENT/ZBRINJAVANJE LIMFOREJE NAKON KIRUR?KIH ZAHVATA U PODRUCJU GLAVE I VRATA: PREGLED TRENUTNIH PRISTUPA UZ PRIJEDLOG NOVE STRATEGIJE LIJECENJA
Document Type
Report
Author
Source
Acta Clinica Croatica. December 30, 2022, Vol. 61 Issue S4, p88, 8 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction A lymphatic leakage is a loss of lymph fluid from a damaged lymphatic vessel. In head and neck surgery, there is a difference between right and left postoperative lymphatic [...]
Postoperative chyle leak is a rare but serious complication of head and neck surgery. Chyle leak can lead to a systemic metabolic imbalance, a prolonged wound healing and longer hospital stay. Early identification and treatment are crucial for good surgical outcome. The diagnosis can be made intraoperatively or in the early postoperative period. Various treatment options described in the literature can be divided into conservative and surgical modalities. Currently, there is no evidence that any approach is superior to the other due to relatively small number of studies describing chyle leak management. There are no official guidelines for the treatment of postoperative chyle leak. The aim of this article is to present the therapeutic possibilities and to offer an algorithm for chyle leak management. Key words: Chyle; Neck dissection; Thoracic duct; Algorithm Postoperativna limforeja je rijetka, ali ozbiljna komplikacija operacija u podrucju glave i vrata. Limforeja mo?e dovesti do sistemskog metabolickog poremecaja, produ?enog cijeljenja rane i produljenog bolnickog lijecenja. Rano prepoznavanje i lijecenje temelj su dobrog kirur?kog ishoda. Dijagnoza se mo?e postaviti tijekom operacije ili u ranom postoperativnom periodu. Razlicite metode lijecenja opisane u literaturi mo?emo podijeliti u konzervativne i kirur?ke. Trenutno nema dokaza da je i jedan pristup bolji od drugog radi malog broja studija koje opisuju zbrinjavanje ove kirur?ke komplikacije. Ne postoje slu?bene smjernice za lijecenje limforeje nakon operacije. Cilj ovog rada je prikazati terapijske mogucnosti i predlo?iti algoritam za zbrinjavanje bolesnika s limforejom. Kljucne rijeci: Limfa; Disekcija vrata; Prsni duktus; Algoritam
Postoperative chyle leak is a rare but serious complication of head and neck surgery. Chyle leak can lead to a systemic metabolic imbalance, a prolonged wound healing and longer hospital stay. Early identification and treatment are crucial for good surgical outcome. The diagnosis can be made intraoperatively or in the early postoperative period. Various treatment options described in the literature can be divided into conservative and surgical modalities. Currently, there is no evidence that any approach is superior to the other due to relatively small number of studies describing chyle leak management. There are no official guidelines for the treatment of postoperative chyle leak. The aim of this article is to present the therapeutic possibilities and to offer an algorithm for chyle leak management. Key words: Chyle; Neck dissection; Thoracic duct; Algorithm Postoperativna limforeja je rijetka, ali ozbiljna komplikacija operacija u podrucju glave i vrata. Limforeja mo?e dovesti do sistemskog metabolickog poremecaja, produ?enog cijeljenja rane i produljenog bolnickog lijecenja. Rano prepoznavanje i lijecenje temelj su dobrog kirur?kog ishoda. Dijagnoza se mo?e postaviti tijekom operacije ili u ranom postoperativnom periodu. Razlicite metode lijecenja opisane u literaturi mo?emo podijeliti u konzervativne i kirur?ke. Trenutno nema dokaza da je i jedan pristup bolji od drugog radi malog broja studija koje opisuju zbrinjavanje ove kirur?ke komplikacije. Ne postoje slu?bene smjernice za lijecenje limforeje nakon operacije. Cilj ovog rada je prikazati terapijske mogucnosti i predlo?iti algoritam za zbrinjavanje bolesnika s limforejom. Kljucne rijeci: Limfa; Disekcija vrata; Prsni duktus; Algoritam