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Chylous Ascites and Lymphoceles: Evaluation and Interventions
Ernesto Santos1, Amgad M Moussa1
1Department of Radiology, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Seminars in Interventional Radiology
|August 11, 2020
Summary
Minimally invasive lymphatic embolization is a growing first-line therapy for managing postoperative chylous ascites and lymphoceles. This technique offers an effective solution for lymphatic leakage, improving patient outcomes.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Oncology
Background:
- Lymphangiography, introduced in 1955, was vital for diagnosing and treating malignant disease but limited by its difficult bipedal approach.
- Percutaneous lymphatic interventions, pioneered by Cope in 1999, have expanded significantly with advancements in intranodal lymphangiography and lymphatic imaging.
Purpose of the Study:
- To evaluate and manage postoperative chylous ascites and lymphoceles.
- To highlight the increasing incidence of these conditions due to longer cancer patient survival and radical surgeries.
- To discuss minimally invasive percutaneous lymphatic embolization as a primary treatment.
Main Methods:
- Review of percutaneous lymphatic intervention techniques.
- Focus on intranodal lymphangiography and advanced lymphatic imaging.
- Evaluation of minimally invasive lymphatic embolization for lymphatic leakage.
Main Results:
- Postoperative chylous ascites and lymphoceles present growing challenges, increasing morbidity and mortality.
- Minimally invasive percutaneous lymphatic embolization is emerging as a first-line therapy.
- The expansion of lymphatic embolization techniques is driven by technological advancements.
Conclusions:
- Minimally invasive percutaneous lymphatic embolization is a crucial treatment for postoperative lymphatic leakage.
- This approach addresses the rising incidence of chylous ascites and lymphoceles.
- Interventional techniques are transforming the management of lymphatic complications.
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