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乳腺癌手术中的一种罕见并发症:乳糜瘘及其治疗。

A rare complication in breast cancer surgery: chylous fistula and its treatment.

作者信息

Sakman G, Parsak C K, Demircan O

机构信息

Department of General Surgery, Cukurova University Medical Faculty, Adana, Turkey.

出版信息

Acta Chir Belg. 2007 Jun;107(3):317-9. doi: 10.1080/00015458.2007.11680064.

Abstract

Chylous fistula is a complication related to thoracic duct injury, appearing in upper abdominal, thoracic and neck surgery. Occurrence of chylous fistula is very rare after modified radical mastectomy. We encountered a chylous fistula case after breast cancer surgery and successfully treated it conservatively. It is important that all surgeons dealing with breast surgery should be aware that, altough rarely, a chylous fistula can develop after axillary dissection. Experience related to the occurrence of this complication and its management when it occurs is quite restricted.

摘要

乳糜瘘是一种与胸导管损伤相关的并发症,见于上腹部、胸部和颈部手术。改良根治性乳房切除术后乳糜瘘的发生非常罕见。我们遇到了1例乳腺癌手术后乳糜瘘的病例,并成功地进行了保守治疗。所有从事乳腺手术的外科医生都应认识到,尽管罕见,但腋窝清扫术后仍可能发生乳糜瘘。关于这种并发症的发生及其处理的经验相当有限。

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