Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report
This is a case report of a 64‐year‐old male with cancer with an unknown primary and bilateral cervical lymph node metastases. Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck d...
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| Veröffentlicht in: | Journal of surgical oncology 2020-02, Vol.121 (2), p.224-227 |
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| container_title | Journal of surgical oncology |
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| creator | Rodi, Timo Tung Nguyen, Ba Fritsche, Elmar Rajan, Gunesh Scaglioni, Mario F. |
| description | This is a case report of a 64‐year‐old male with cancer with an unknown primary and bilateral cervical lymph node metastases. Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck dissection including the deep neck muscles of the cervical plexus and reconstruction with a free anterolateral thigh flap. During tumor resection, parts of the thoracic duct were removed which resulted in a large lymph leak. This was addressed by creating a lymphovenous anastomosis to a branch of the subclavian vein. The flow of lymph was reinstated, and no leak has been observed up to a recent 6‐month follow‐up. |
| doi_str_mv | 10.1002/jso.25802 |
| format | Article |
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Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck dissection including the deep neck muscles of the cervical plexus and reconstruction with a free anterolateral thigh flap. During tumor resection, parts of the thoracic duct were removed which resulted in a large lymph leak. This was addressed by creating a lymphovenous anastomosis to a branch of the subclavian vein. 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Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck dissection including the deep neck muscles of the cervical plexus and reconstruction with a free anterolateral thigh flap. During tumor resection, parts of the thoracic duct were removed which resulted in a large lymph leak. This was addressed by creating a lymphovenous anastomosis to a branch of the subclavian vein. The flow of lymph was reinstated, and no leak has been observed up to a recent 6‐month follow‐up.</description><subject>Cancer surgery</subject><subject>Case reports</subject><subject>Iatrogenesis</subject><subject>ICG</subject><subject>indocyanine green</subject><subject>Life Sciences & Biomedicine</subject><subject>lymph leak</subject><subject>Lymphatic system</subject><subject>Lymphoma</subject><subject>lymphovenous anastomosis</subject><subject>Metastasis</subject><subject>neck dissection</subject><subject>Oncology</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>thoracic duct</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNkcFuGyEQhlGVqHGTHPoCFVIviapNBvAu0JvltmkiSzm0zXXF4iHGshcX2FR---Laya1SuIBmvvln5oeQ9wyuGAC_XqZwxWsF_A0ZMdBNpUGrIzIqOV6NpYYT8i6lJQBo3YzfkhPBFFdSj0fEffERbaYRN8ZHGhz1JsfwiL23NC9CNLY85kNBfL8c4rYEYxgeF3S1XW8W4Qn7MCRqepNyWIfkE72YPUwuP9MJtSbhTjjEfEaOnVklPD_cp-TXt68_p9-r2f3N7XQyq6zgwCtuurl1vO4aUQOvLRfdWFrdKVXCiHUjhQNkUirtnDBKGmgcOFGjBDCyFqfk4153E8PvAVNul2GIfWnZciEapiUwVajLPWVjSCmiazfRr03ctgzanaNtcbT952hhPxwUh26N8xfy2cICfNoDf7ALLlmPvcUXrHheNimfArvDCq1eT099NtmHfhqGPpfS60OpX-H2_yO3dz_u97P_BRxBoLw</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Rodi, Timo</creator><creator>Tung Nguyen, Ba</creator><creator>Fritsche, Elmar</creator><creator>Rajan, Gunesh</creator><creator>Scaglioni, Mario F.</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0001-5289-9140</orcidid><orcidid>https://orcid.org/0000-0001-7529-3440</orcidid></search><sort><creationdate>20200201</creationdate><title>Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report</title><author>Rodi, Timo ; Tung Nguyen, Ba ; Fritsche, Elmar ; Rajan, Gunesh ; Scaglioni, Mario F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3202-2abdcf25b635025c23b47c9b88dcfee5673f0e17789ff3a87a06f0f35e700a753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cancer surgery</topic><topic>Case reports</topic><topic>Iatrogenesis</topic><topic>ICG</topic><topic>indocyanine green</topic><topic>Life Sciences & Biomedicine</topic><topic>lymph leak</topic><topic>Lymphatic system</topic><topic>Lymphoma</topic><topic>lymphovenous anastomosis</topic><topic>Metastasis</topic><topic>neck dissection</topic><topic>Oncology</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>thoracic duct</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodi, Timo</creatorcontrib><creatorcontrib>Tung Nguyen, Ba</creatorcontrib><creatorcontrib>Fritsche, Elmar</creatorcontrib><creatorcontrib>Rajan, Gunesh</creatorcontrib><creatorcontrib>Scaglioni, Mario F.</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodi, Timo</au><au>Tung Nguyen, Ba</au><au>Fritsche, Elmar</au><au>Rajan, Gunesh</au><au>Scaglioni, Mario F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report</atitle><jtitle>Journal of surgical oncology</jtitle><stitle>J SURG ONCOL</stitle><addtitle>J Surg Oncol</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>121</volume><issue>2</issue><spage>224</spage><epage>227</epage><pages>224-227</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>This is a case report of a 64‐year‐old male with cancer with an unknown primary and bilateral cervical lymph node metastases. 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| source | Wiley-Blackwell Journals; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /> |
| subjects | Cancer surgery Case reports Iatrogenesis ICG indocyanine green Life Sciences & Biomedicine lymph leak Lymphatic system Lymphoma lymphovenous anastomosis Metastasis neck dissection Oncology Science & Technology Surgery thoracic duct |
| title | Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report |
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