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Date Published:
06/10/2023
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Trần, H. H., Hoàng, T. Q., Lê, T. H. L., Nguyễn, C. H., & Nguyễn, T. N. A. (2023). REPORT 1 CASE OF CHYLOUS FISTULA AFTER OPERATING OF THYROID CANCER USING LIGASURE. Vietnam Medical Journal, 530(2). https://doi.org/10.51298/vmj.v530i2.6820
REPORT 1 CASE OF CHYLOUS FISTULA AFTER OPERATING OF THYROID CANCER USING LIGASURE
Main Article Content
Abstract
Chylous fistula is an uncommon complication of thyroid cancer. The rate of chylous fistula in patients with cervical lymphadenectomy is generally 1-2.5% according to Polisena's study [1]. Knowledge and handling are limited. To discuss the clinical symptoms, suspicions, and management of these complications, we would like to report a case recorded at the Thai Nguyen National Hospital after total thyroidectomy and bilateral cervical lymphadenectomy with chylous fistula that successfully managed.
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Keywords
Chylous fistula, thyroid cancer, bilateral cervical lymphadenectomy.
References
Polistena A, Vannucci J, Monacelli M. (2016), Thoracic duct lesions in thyroid surgery: An update on diagnosis, treatment and prevention based on a cohort study, Int J Surg, 28 (1), pp. 33-37. 
2. Hoàng Kim Ước (2007), “Ung thư tuyến giáp”, Bệnh học tuyến giáp, Nhà xuất bản Y học, tr. 252-269.
3. Haugen B.R., Alexander E.K., Bible K.C. (2015), American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer, Thyroid, Vol 26(1), pp. 1-133.
4. Dhiwakar M., Nambi G.I., Ramanikanth T.V. (2014), Drain removal and aspiration to treat low output chylous fistula, Eur Arch Otorhinolaryngol, Vol 271(3), pp561-565.
5. Crumley R.L., Smith J.D. (2006), Postoperative chylous fistula prevention and management,The Laryngoscope, Vol 86(6), pp. 804-813.
6. Mc Grath E.E., Blades Z., Anderson P.B. (2010), Chylothorax: Aetiology, diagnosis and therapeutic options, Respiratory Medicine, Vol 104(1), pp.1-8.
7. Roh J.L., Kim D.H., Park C.I. (2018), Prospective Identification of Chyle Leakage in Patients Undergoing Lateral Neck Dissection for Metastatic Thyroid Cancer, Ann Surgery Oncology, Vol 15(2), pp.424- 429.
2. Hoàng Kim Ước (2007), “Ung thư tuyến giáp”, Bệnh học tuyến giáp, Nhà xuất bản Y học, tr. 252-269.
3. Haugen B.R., Alexander E.K., Bible K.C. (2015), American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer, Thyroid, Vol 26(1), pp. 1-133.
4. Dhiwakar M., Nambi G.I., Ramanikanth T.V. (2014), Drain removal and aspiration to treat low output chylous fistula, Eur Arch Otorhinolaryngol, Vol 271(3), pp561-565.
5. Crumley R.L., Smith J.D. (2006), Postoperative chylous fistula prevention and management,The Laryngoscope, Vol 86(6), pp. 804-813.
6. Mc Grath E.E., Blades Z., Anderson P.B. (2010), Chylothorax: Aetiology, diagnosis and therapeutic options, Respiratory Medicine, Vol 104(1), pp.1-8.
7. Roh J.L., Kim D.H., Park C.I. (2018), Prospective Identification of Chyle Leakage in Patients Undergoing Lateral Neck Dissection for Metastatic Thyroid Cancer, Ann Surgery Oncology, Vol 15(2), pp.424- 429.