Lv Shulan, Wang Qing, Zhao Wanqiu, Han Lu, Wang Qi, Batchu Nasra, Ulain Qurat, Zou Junkai, Sun Chao, Du Jiang, Song Qing, Li Qiling
Department of Obstetrics and Gynecology, First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Northwest Women's and Children's Hospital, Xi'an, Shaanxi, China.
Oncotarget. 2017 Apr 20;8(40):69062-69075. doi: 10.18632/oncotarget.17297. eCollection 2017 Sep 15.
Lymphatic complications are rare, but well-known phenomena, and have been described by many researchers. However, many diagnoses of lymphatic complications are found confusing due to different definition. A literature search in Pubmed was performed for studies postoperative lympatic complications. These complications divided into two parts: lymphatic leakage and lymphatic stasis. This review is about lymphatic leakage, especially, postoperative lymphatic leakage due to the injury of lymphatic channels in surgical procedures. According to polytrophic consequences, many types of postoperative lymphatic leakage have been presented, including lymph ascites, lymphocele, lymphorrhea, lymphatic fistula, chylous ascites, chylothorax, chyloretroperitoneum and chylorrhea. In this review, we focus on the definition, incidence and treatment about most of these forms of lymphatic complications to depict a comprehensive view of postoperative lymphatic leakage. We hold the idea that the method of treatment should be individual and personal according to manifestation and tolerance of patient. Meanwhile, conservative treatment is suitable and should be considered first.
淋巴并发症虽罕见,但却是广为人知的现象,许多研究人员都曾对其进行过描述。然而,由于定义不同,许多淋巴并发症的诊断令人困惑。我们在PubMed上进行了文献检索,以查找有关术后淋巴并发症的研究。这些并发症分为两部分:淋巴漏和淋巴淤滞。本综述聚焦于淋巴漏,尤其是手术过程中淋巴管损伤导致的术后淋巴漏。根据多种后果,出现了多种类型的术后淋巴漏,包括淋巴腹水、淋巴囊肿、淋巴溢液、淋巴瘘、乳糜腹水、乳糜胸、乳糜性腹膜后积液和乳糜溢液。在本综述中,我们着重阐述这些淋巴并发症大多数形式的定义、发生率及治疗方法,以全面呈现术后淋巴漏的情况。我们认为,治疗方法应根据患者的表现和耐受性个体化制定。同时,保守治疗是合适的,应首先予以考虑。