1. Results and complication of thoracic duct embolization treatment for chylous leak
Main Article Content
Abstract
Chylous leaks, resulting from thoracic duct (TD) laceration, typically manifest as post-operation, traumatic, or tumor invasion. Additionally, a less common cause is spontaneous chylous leakage. Recent advancements in lymphatic interventions have enabled depicting the TD allowing for accurate localization leakage point. The objective of this study was to assess the outcomes of TD embolization in treating various types of chylous leaks. A retrospective study was conducted on a total of 73 patients who underwent TD embolization. The study revealed that the primary causes of chylous leaks were post-thyroidectomy, esophageal, and mediastinal cancer surgeries (83%), while the remaining cases were attributed to other surgeries and spontaneous chylous leaks (3%). The technical success was 90%. Patients who were technical unsuccessful had sclerotic injections to disrupt thoracic duct flow, aiding in the self-sealing of the leaking point. Clinical success achieved on 100%, with no complications related to disability or mortality. Complications associated with the intervention occurred in 2 patients (2.7%), both involving biliary leaks necessitating laparoscopy to resect the gallbladder.
Article Details
Keywords
Chylous leak, lymphangiography, lymphatic intervention, thoracic duct embolization
References
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