Treating external chylous fistula with retroperitoneal lymphangiectomy plus lymph-vein shunting / 中华预防医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To discuss the diagnosis and therapy of chylous reflux and external chylous fistula.</p><p><b>METHODS</b>All of 6 patients were diagnosed with direct lymphagiography, lymphscintigraphy. Among them, 2 patients received CT after direct lymphagiography. Retroperitoneal lymphangiectomy plus lymph-vein shunting was performed in 5 patients, and retroperitoneal lymphangiectomy in 1 patient.</p><p><b>RESULTS</b>The 6 patients were followed up from 6 months to 6 years. In 5 patients, chylous cysts disappeared and chylous fistula closed, and in 1 patient, chylous fistula didn't cicatrize, and chyle still leak out from the scrotum.</p><p><b>CONCLUSIONS</b>Retroperitoneal lymphangiectomy plus lymph-vein shunting has curative effect on chylous external fistula of the lower extremity and genitalia, but it has the chance to not obstruct all paths of chylous reflex.</p>