Smith M E, Riffat F, Jani P
Department of Otolaryngology and Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.
J Laryngol Otol. 2013 Feb;127(2):128-33. doi: 10.1017/S0022215112002939. Epub 2013 Jan 8.
The major lymphatic vessels may be damaged during neck dissection or other cervical surgery, resulting in chyloma or chyle fistula. While commonly considered to be predominantly a complication of left-sided surgery, the thoracic duct may be damaged on either side of the neck due to the extreme variability in the anatomy of the central lymphatic system.
This paper reviews the variable anatomy and embryology of the thoracic and right lymphatic ducts, particularly aspects relevant to head and neck surgery.
在颈部清扫术或其他颈部手术过程中，主要淋巴管可能受损，导致乳糜瘤或乳糜瘘。虽然通常认为这主要是左侧手术的并发症，但由于中央淋巴系统解剖结构的极端变异性，胸导管在颈部两侧均可能受损。
本文回顾了胸导管和右淋巴导管的可变解剖结构及胚胎学，特别是与头颈外科相关的方面。
