Lesion of the cervical lymphatic drainage in repeated operations on the thyroid gland for cancer
Lézia krčnej lymfatickej drenáže pri reoperáciach štítnej žľazy pre karcinóm
Ojedinelými komplikáciami pri reoperáciach štítnej žľazy pre karcinóm sú poranenia ductus thoracicus a jeho kmeňov s tvorbou krčného chylómu, resp. chylothoraxu. Autori vo svojej práci popisujú 4 kazuistiky pacientov s krčným chylómom po reoperácii pre karcinóm štítnej žľazy, rozoberajú manažment liečby. Doporučujú myslieť na túto vzácnu komplikáciu pri vytvorení tekutinovej kolekcie v mieste operačnej rany a včas adekvátne terapeuticky zasiahnuť.
Kľúčové slová:
reoperácia štítnej žľazy – karcinóm štítnej žľazy – lézia ductus thoracicus a jeho kmeňov.
Authors:
M. Repáň; R. Králik; R. Záhorec
Authors‘ workplace:
Chirurgické oddelenie OÚsA, Bratislava, Slovenská republika
primár MUDr. J. Knotek
Published in:
Prakt. Lék. 2005; 85(1): 26-28
Category:
Case Report
Overview
Rare complications in repeated surgical intervention on the thyroid gland for carcinoma are injuries to the ductus thoracicus and its trunks, causing cervical chyloma or hylothorax. The authors describe four case reports of patients suffering cervical chyloma upon repeated surgery of thyroid carcinoma, and analyze the managing of the treatment. They recommend to keep in mind this rare complication when there occurs any accumulation of liquid in the operation site and to adequately intervene therapeutically.
Key words:
repeated operation – carcinoma – thyroid gland – ductus thoracicus – truncus lymphaticus – lesion.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2005 Issue 1
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