Chyle Leakage after Esophageal Cancer Surgery

Surgeons recommend dissecting lymph nodes in the thorax, abdomen, and neck during surgery for esophageal cancer because of the possibility of metastasis to the lymph nodes in those areas through the lymphatic plexus of the esophageal submucosal layer. Extensive lymph node dissection is essential for...

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Bibliographic Details
Published in:Journal of chest surgery 2020, 53(4), , pp.191-199
Main Authors: Yang, Young Ho, Park, Seong Yong, Kim, Dae Joon
Format: Article
Language:English
Subjects:
chyle leakage
chylo-peritoneum
chylothorax
Collective of current Review, Lecture
esophageal neoplasms
esophagectomy
흉부외과학
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Summary:Surgeons recommend dissecting lymph nodes in the thorax, abdomen, and neck during surgery for esophageal cancer because of the possibility of metastasis to the lymph nodes in those areas through the lymphatic plexus of the esophageal submucosal layer. Extensive lymph node dissection is essential for accurate staging and is thought to improve survival. However, it can result in several complications, including chyle leakage, which refers to continuous lymphatic fluid leakage and can occur in the thorax, abdomen, and neck. Malnutrition, fluid imbalance, and immune compromise may result from chyle leakage, which can be potentially life-threatening if it persists. Therefore, various treatment methods, including conservative treatment, pharmacological treatment such as octreotide infusion, and interventions such as thoracic duct embolization and surgical thoracic duct ligation, have been applied. In this article, the risk factors, diagnosis, and treatment methods of chyle leakage after esophagectomy are reviewed.
ISSN:2233-601X
2765-1606
2093-6516
2765-1614
DOI:10.5090/kjtcs.2020.53.4.191