구제적 경부청소술 후 경부 유미액 누출 없이 발생한 유미흉 1예
Chylothorax After Salvage Neck Dissection Without Chyle Leakage at Operation Site: A Case Reportv
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Leaks of chyle can occur during a head and neck surgery and can appear very rarely as chylo-thorax. A 62-year-old male diagnosed with Hypopharyngeal cancer was diagnosed with nodalfailure during a follow-up after radiation therapy and underwent a left cervical lymph nodedissection. Chest x-ray was taken due to dyspnea that began on the second day of surgery. Itwas diagnosed as bilateral chylothorax; absolute bed resting and fasting were maintainedalong with drainage through pleural puncture. The patient was discharged from the hospitalwith all improved symptoms on the 10th day after surgery and has been followed up for 5years without recurrence. Chylothorax is a complication that cannot be just watched but mustbe detected and treated early. Since we have experienced a case of very rare bilateral chylo-thorax without any leakage at the neck operation site, we would like to report it with a review of the literature.
Abstract
Leaks of chyle can occur during a head and neck surgery and can appear very rarely as chylo-thorax. A 62-year-old male diagnosed with Hypopharyngeal cancer was diagnosed with nodalfailure during a follow-up after radiation therapy and underwent a left cervical lymph nodedissection. Chest x-ray was taken due to dyspnea that began on the second day of surgery. Itwas diagnosed as bilateral chylothorax; absolute bed resting and fasting were maintainedalong with drainage through pleural puncture. The patient was discharged from the hospitalwith all improved symptoms on the 10th day after surgery and has been followed up for 5years without recurrence. Chylothorax is a complication that cannot be just watched but mustbe detected and treated early. Since we have experienced a case of very rare bilateral chylo-thorax without any leakage at the neck operation site, we would like to report it with a review of the literature.
참고문헌 (11)
- Delaney SW, "Management of chyle leak after head and neck surgery : Review of current treatment strategies", Int J Otolaryngol, 2017, pp.8362874~ (2017)
- Lee J, "Postoperative chylothorax after modified radical neck dissection for thyroid carcinoma: A missable rare complication of thyroid surgery", Medicina(Kaunas), 56(9), pp.481~ (2020)
- McGrath EE, "Chylothorax: Aetiology, diagnosis and therapeutic options", Respir Med, 104(1), pp.1~8 (2010)
- Singh R, "Bilateral chylothorax following neck dissection : Case report & review of literature", Indian J Surg Oncol, 7(1), pp.115~118 (2016)
- Phang K, "Review of thoracic duct anatomical variations and clinical implications", Clin Anat, 27(4), pp.637~644 (2014)
- Lorenz K, "Management of lymph fistulas in thyroid surgery", Langenbecks Arch Surg, 395(7), pp.911~917 (2010)
- Wiesner S, "Evaluation of treatment options for postoperative and spontaneous chylothorax in adults", Interact Cardiovasc Thorac Surg, 33(4), pp.527~533 (2021)
- Prabhu V, "Left-sided neck dissection and chylothorax : A rare complication and its management", J Laryngol Otol, 126(6), pp.648~650 (2012)
- Angeramo CA, "An unusual case of bilateral chylothorax after neck dissection", JAMA Otolaryngol Head Neck Surg, 147(11), pp.1006~1008 (2021)
- Merki V, "Chylothorax in thyroid surgery : A very rare case and systematic review of the literature", J Otolaryngol Head Neck Surg, 45(1), pp.52~ (2016)
- Tsukahara K, "Three cases of bilateral chylothorax developing after neck dissection", Auris Nasus Larynx, 34(4), pp.573~576 (2007)
