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Radiological management of postoperative lymphorrhea.

C M Sommer1,2,3,4, C C Pieper5, F Offensperger6

  • 1Clinic of Diagnostic and Interventional Radiology, Stuttgart Clinics, Kriegsbergstrasse 60, 70174, Stuttgart, Germany. cmsommer@gmx.com.

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Summary
This summary is machine-generated.

Radiological management using conventional lymphangiography (CL) and percutaneous lymphatic intervention (PLI) is a safe and effective treatment for postoperative lymphorrhea. This minimally invasive approach improves patient outcomes by addressing lymphatic leakage after surgery.

Keywords:
LymphangiographyLymphorrheaPercutaneous lymphatic interventionRadiological management

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Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Oncology

Background:

  • Postoperative lymphorrhea is a complication following various surgical procedures, often necessitating prolonged hospitalization and specific interventions.
  • Effective management strategies are crucial to mitigate the impact of lymphorrhea on patient recovery and hospital stay.

Purpose of the Study:

  • To assess and illustrate the therapeutic significance of radiological management for postoperative lymphorrhea.
  • To evaluate the safety and efficacy of conventional lymphangiography (CL) combined with percutaneous lymphatic intervention (PLI).

Main Methods:

  • A literature search was conducted using the MeSH term "lymphangiography" to identify studies with original data on Lipiodol-based CL and subsequent PLI.
  • Inclusion criteria focused on studies with original data, while exclusion criteria (e.g., <15 patients) ensured data quality.
  • Data collected included clinical background, indications, procedural details of PLI, and outcomes, presented as a pictorial essay of clinical cases.

Main Results:

  • Seven studies (Level 4 evidence) involving 196 patients with central or peripheral lymphorrhea were analyzed.
  • CL followed by PLI demonstrated high technical success rates (97-100% for CL, 89-100% for PLI) and clinical success rates (73-95%).
  • Major complication rates were low (0-3% for CL, 0-5% for PLI), with a 0% 30-day mortality rate.

Conclusions:

  • Radiological management of postoperative lymphorrhea through CL and PLI is feasible, safe, and effective.
  • Standardized radiological treatments, integrated into an interdisciplinary approach, contribute to improved patient outcomes.
  • This minimally invasive approach offers a valuable therapeutic option for managing complex lymphatic complications post-surgery.