La Hei E R, Menzie S J, Thompson J F
Department of Surgical Oncology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Aust N Z J Surg. 1993 Jan;63(1):77-9. doi: 10.1111/j.1445-2197.1993.tb00041.x.
The development of a right chylothorax following left radical neck dissection for melanoma is reported. Chylothorax following neck dissection is extremely rare, with only 12 cases documented in the literature. Seven of these were bilateral and three were unilateral (all left-sided); unilateral right chylothorax after neck dissection has not been reported previously. Chylothorax is more common after intrathoracic surgery or trauma. Regardless of its cause, the condition is potentially serious and sometimes fatal. Our patient was successfully managed without further surgery. The aetiology and management of chylothorax following neck dissection are discussed.
本文报道了一例因黑色素瘤行左侧根治性颈清扫术后出现右侧乳糜胸的病例。颈清扫术后发生乳糜胸极为罕见,文献中仅记载了12例。其中7例为双侧性,3例为单侧性(均为左侧);此前尚无颈清扫术后单侧右乳糜胸的报道。乳糜胸在胸内手术或创伤后更为常见。无论其病因如何,这种情况都可能很严重,有时甚至会致命。我们的患者未经进一步手术即成功治愈。本文还讨论了颈清扫术后乳糜胸的病因及治疗方法。