Har-El G, Lucente F E
Department of Otolaryngology, State University of New York Health Science Center at Brooklyn.
Ann Otol Rhinol Laryngol. 1994 Jan;103(1):46-8. doi: 10.1177/000348949410300108.
The thoracic duct is the main lymphatic vessel that drains most of the body's lymph and all of the intestinal chyle into the venous system. The thoracic duct may be ligated during left radical neck dissection (RND) without any significant sequelae. The lymphatic system must, therefore, have collateral channels. The present study shows an increased incidence of pleural effusion after left RND when compared to right RND. We suggest that this represents the inability of the collateral system to immediately accommodate the increased volume of chyle.
胸导管是主要的淋巴管，它将身体大部分淋巴液和所有肠乳糜引流至静脉系统。在左侧根治性颈清扫术（RND）期间可结扎胸导管，且不会产生任何明显的后遗症。因此，淋巴系统必定有侧支通道。本研究表明，与右侧RND相比，左侧RND后胸腔积液的发生率增加。我们认为，这表明侧支系统无法立即适应增加的乳糜量。
