From the Section of Plastic and Reconstructive Surgery, University of Chicago Medicine.
Plast Reconstr Surg. 2019 Apr;143(4):1251-1256. doi: 10.1097/PRS.0000000000005433.
Vascularized lymph node transfer is a physiologic microsurgical technique used for the treatment of lymphedema. As vascularized lymph node transfer is becoming more common, it is essential that one is aware of all potential complications associated with vascularized lymph node transfer and know how to avoid and manage them when they do occur. The authors recently encountered a complication after supraclavicular vascularized lymph node transfer that has not been previously reported. A patient developed a recalcitrant high-output (>500 ml/day) chyle leak in the neck donor site after supraclavicular vascularized lymph node transfer harvest. In this article, the authors share their experience with massive chyle leak and review the management strategies of how to effectively avoid and treat this potentially dangerous complication. This review of a previously unreported complication of supraclavicular vascularized lymph node transfer is timely and important, as this procedure is increasingly being offered to patients, and surgeons performing these procedures should be familiar with effectively managing this potentially dangerous complication. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.
血管化淋巴结转移是一种用于治疗淋巴水肿的生理微创手术技术。随着血管化淋巴结转移的应用越来越普遍，了解所有与血管化淋巴结转移相关的潜在并发症并知道如何在发生时避免和处理这些并发症至关重要。作者最近在锁骨上血管化淋巴结转移后遇到了一种以前没有报道过的并发症。一名患者在锁骨上血管化淋巴结转移采集后出现颈部供区顽固性高输出量（>500ml/天）乳糜漏。在本文中，作者分享了他们在大量乳糜漏方面的经验，并回顾了如何有效避免和治疗这种潜在危险并发症的管理策略。对锁骨上血管化淋巴结转移这一先前未报道并发症的回顾是及时和重要的，因为该手术正越来越多地应用于患者，进行这些手术的外科医生应熟悉有效管理这种潜在危险并发症的方法。临床问题/证据水平：治疗性，V。
