González-Sánchez-Migallón Elena, Aguilar-Jiménez José, García-Marín José Andrés, Aguayo-Albasini José Luis
General Surgery Department, Morales Meseguer University Hospital, Mare Nostrum International Excellence Campus, Murcia University, 30008 Murcia, Spain; Servicio de Cirugía General del Hospital General Universitario "JM Morales Meseguer", Avenida Marqués de los Vélez s/n, 30008 Murcia, Spain.
General Surgery Department, Morales Meseguer University Hospital, Mare Nostrum International Excellence Campus, Murcia University, 30008 Murcia, Spain.
Case Rep Surg. 2016;2016:6098019. doi: 10.1155/2016/6098019. Epub 2016 Jan 26.
Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for chylous fistulas after neck surgery. We present a case of chylous fistula after axillary surgery resolved with the use of octreotide.
腋窝淋巴结清扫术后乳糜漏是一种罕见但重要的并发症。术后乳糜瘘的治疗仍不明确。保守治疗是一线治疗方法。包括持续负压吸引的腋窝引流、加压包扎、卧床休息和营养调整。生长抑素类似物用于颈部手术后乳糜瘘的治疗已有充分文献记载。我们报告一例腋窝手术后乳糜瘘经使用奥曲肽治愈的病例。
