A Novel Method of Management of High Output Chyle Leak Following Neck Dissection: Indocyanine Green Fluorescence-guided Robotic Transthoracic Thoracic Duct Ligation: A Case Series.

IF 0.6 Q4 SURGERY
Kalaiarasi Raja, Kalayarasan Raja, Akshat Kushwaha, Sivaraman Ganesan, Lokesh Kumar Penubarthi, Sabharisan Paramasivam, Arun Alexander
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引用次数: 0

Abstract

High-output Chyle leak is a dreadful complication following neck dissection, posing challenges in management due to the morbidity associated with prolonged leakage. This case series describes the efficacy of a novel Indocyanine Green (ICG) Fluorescence-guided Robotic Transthoracic thoracic duct ligation technique in intractable high-output chyle leaks following neck dissection. Three patients with persistent high-output chyle leaks following neck dissection underwent robot-assisted thoracic duct ligation. Preoperative evaluation, surgical technique, postoperative care, outcomes and follow-up were recorded. All patients experienced successful resolution of chyle leaks with no intraoperative complications. Postoperative recovery was uneventful, and no recurrences were observed during the follow-up period. ICG-guided robotic transthoracic thoracic duct ligation is a safe and effective method for managing persistent high-output chyle leaks following neck dissection, offering a minimally invasive technique with favourable outcomes.

治疗颈部切除术后高输出量糜烂渗漏的新方法:吲哚菁绿荧光引导下的机器人经胸胸导管结扎术:病例系列。
高输出糜烂性渗漏是颈部剥离术后的一种可怕并发症,由于渗漏时间过长导致的发病率高,给治疗带来了挑战。本病例系列描述了一种新型吲哚菁绿(ICG)荧光引导机器人经胸胸导管结扎技术对颈部解剖后顽固性高输出淤血漏的疗效。三名颈部切除术后持续高输出量糜烂的患者接受了机器人辅助下的胸导管结扎术。对术前评估、手术技巧、术后护理、结果和随访进行了记录。所有患者均成功解决了糜烂性渗漏问题,且无术中并发症。术后恢复顺利,随访期间未发现复发。ICG引导下的机器人经胸胸导管结扎术是一种安全有效的方法,可用于治疗颈部解剖后的持续高输出糜烂性渗漏,是一种效果良好的微创技术。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
226
审稿时长
6-12 weeks
期刊介绍: Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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