Rodier Jean-François, Volkmar Pierre-Philippe, Bodin Frédéric, Frigo Séverine, Ciftci Sait, Dahlet Christian
Department of Surgical Oncology, Paul Strauss Cancer Center, Strasbourg, France.
Case Rep Oncol. 2011 May;4(2):255-9. doi: 10.1159/000328801. Epub 2011 May 24.
The use of somatostatin analogs is a new conservative therapeutic approach for the treatment of chyle fistulas developing after thyroid cancer surgery. The combination therapy with a total parenteral nutrition should avoid the high morbidity of a re-intervention with an uncertain outcome. This promising trend is supported by the present case report of a chyle leak occurring after total thyroidectomy with central and lateral neck dissection for a papillary carcinoma, which was treated successfully without immediate or distant sequelae.
生长抑素类似物的使用是一种治疗甲状腺癌手术后发生乳糜瘘的新的保守治疗方法。全胃肠外营养联合治疗应避免再次干预带来的高发病率及不确定的预后。本病例报告支持了这一有前景的趋势，该病例为一名乳头状癌患者行甲状腺全切及中央和侧颈淋巴结清扫术后发生乳糜漏，经治疗成功且无近期或远期后遗症。
