A systematic review of chyle leaks and their management following axillary surgery

Chyle leaks following surgery to the axilla are seldom encountered with an incidence 500mls/24 hrs before secondary surgery. Mean resolution time from initial surgery was 17.3days (range = 4–64days). No statistically significant difference (p = 0.72) in time to resolution between conservatively and...

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Bibliographic Details
Published in:European journal of surgical oncology 2020-06, Vol.46 (6), p.931-942
Main Authors: Farkas, N., Wong, J., Monib, S., Thomson, S.
Format: Article
Language:English
Subjects:
Axillary surgery
Breast cancer
Chyle
Chyle leak
Chylous Ascites - etiology
Chylous Ascites - therapy
Disease Management
Drainage - methods
Global Health
Humans
Incidence
Lymph Node Excision - adverse effects
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - therapy
Surgical complication
Thoracic Duct - injuries
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Summary:Chyle leaks following surgery to the axilla are seldom encountered with an incidence 500mls/24 hrs before secondary surgery. Mean resolution time from initial surgery was 17.3days (range = 4–64days). No statistically significant difference (p = 0.72) in time to resolution between conservatively and surgically managed patients. Chyle leaks are rarely seen following axillary surgery. Aberrant thoracic duct anatomy represents the likeliest aetiology. We advocate early recognition and tailored individual management. Conservative management with non-suction drainage, low-fat diet and axillary compression bandaging appear effective where output
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2020.01.029