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Treating external chylous fistula with retroperitoneal lymphangiectomy plus lymph-vein shunting
Yingxian Sun1, Wenbin Shen, Wande Geng
1Department of Surgery, Beijing Police Hospital, Beijing 100006, China.
Objective:
To discuss the diagnosis and therapy of chylous reflux and external chylous fistula.
Methods:
All of 6 patients were diagnosed with direct lymphagiography, lymphscintigraphy. Among them, 2 patients received CT after direct lymphagiography. Retroperitoneal lymphangiectomy plus lymph-vein shunting was performed in 5 patients, and retroperitoneal lymphangiectomy in 1 patient.
Results:
The 6 patients were followed up from 6 months to 6 years. In 5 patients, chylous cysts disappeared and chylous fistula closed, and in 1 patient, chylous fistula didn't cicatrize, and chyle still leak out from the scrotum.
Conclusions:
Retroperitoneal lymphangiectomy plus lymph-vein shunting has curative effect on chylous external fistula of the lower extremity and genitalia, but it has the chance to not obstruct all paths of chylous reflex.