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

Farkas, Nicholas; Wong, Joshua; Monib, Sherif; Thomson, Simon

doi:10.1016/j.ejso.2020.01.029

Cited by 15 publications

(14 citation statements)

References 32 publications

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“…Ninety-six percent were managed conservatively, initially with 22% requiring surgical intervention after failure of conservative management. Our patient's drain was removed on day 18 post-surgery, which corresponds to the mean time to resolution from initial surgery reported of 17.3 days (7). The thoracic duct and its branches are rarely encountered in the axilla and therefore injury is uncommon.…”

Section: Discussionmentioning

confidence: 76%

Chylous Leakage Post-mastectomy and Axillary Dissection

Mwongeli¹,

Wasike²

2021

Ann Afr Surg.

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Section: Discussionmentioning

confidence: 76%

Chylous Leakage Post-mastectomy and Axillary Dissection

Mwongeli¹,

Wasike²

2021

Ann Afr Surg.

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“…Surgical intervention of chyle leak, on the other hand, has been discussed in a number of studies ( 6 , 14 , 15 ). Some authors believe that early surgical intervention may be beneficial in patients who have failed to respond to initial dietary and/or medical interventions.…”

Section: Discussionmentioning

confidence: 99%

Chylous Leakage After Breast-Conserving Surgery and Axillary Clearance: Case Report and Management Strategies

et al. 2022

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Chylous leakage is a rare complication of breast and axillary surgery. We present a case of chylous leakage inside the breast following breast-conserving surgery and axillary lymph node dissection. The majority of chylous leakages in the breast are managed with conservative measures aimed at reducing lymphatic fluid production and outflow. Surgical intervention is required in cases of conservative treatment failure and high output chylous leakage. To the best of our knowledge, this is the first case report of chyles leaks inside the breast following breast-conserving surgery that was successfully treated surgically.

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“…10 Farkas et al. 11 performed a systematic review that summarized 51 cases from 31 chylous leakage studies. The authors concluded that abnormal thoracic duct anatomy is the most likely cause of chylous leakage.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, re-operation is not necessarily effective; the risk of leakage persists, and trauma from a second surgery is inevitable, increasing the patient's pain. 10 Farkas et al 11 performed a systematic review that summarized 51 cases from 31 chylous leakage studies. The authors concluded that abnormal thoracic duct anatomy is the most likely cause of chylous leakage.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of chylous leakage after modified radical mastectomy for breast cancer: a case report

Bai

Tao

et al. 2021

J Int Med Res

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The post-operative complication of chylous leakage after breast cancer is relatively rare, and few clinical studies have been published. We report a 64-year-old woman with chylous leakage following modified radical mastectomy. We describe the patient’s diagnostic and treatment process in detail. The patient was diagnosed with grade II (left) breast invasive ductal carcinoma. Post-operatively, the patient's chest wall and axilla were pressurized, and negative pressure drainage was initiated. On the fifth post-operative day, the drainage from the chest wall and axilla increased significantly, and the patient developed chylous leakage on the eighth postoperative day. We injected meglumine diatrizoate (100 mL) and elemene (10 mL) into the patient's axilla, and the chylous leakage gradually resolved 18 days post-operatively. In this report, we focus on managing a case of chylous leakage after modified radical mastectomy for breast cancer. Meglumine diatrizoate combined with elemene is a possible treatment for the management of this rare complication.

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

Cited by 15 publications

References 32 publications

Chylous Leakage Post-mastectomy and Axillary Dissection

Chylous Leakage Post-mastectomy and Axillary Dissection

Chylous Leakage After Breast-Conserving Surgery and Axillary Clearance: Case Report and Management Strategies

Diagnosis and treatment of chylous leakage after modified radical mastectomy for breast cancer: a case report

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