title: Treating external chylous fistula with retroperitoneal lymphangiectomy plus lymph-vein shunting.
abstract: OBJECTIVE
  To discuss the diagnosis and therapy of chylous reflux and external chylous fistula.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgery, Beijing Police Hospital, Beijing 100006, China.
authors.forename: Yingxian
authors.initials: Y
authors.lastname: Sun
authors.forename: Wenbin
authors.initials: W
authors.lastname: Shen
authors.forename: Wande
authors.initials: W
authors.lastname: Geng
authors.forename: Guofu
authors.initials: G
authors.lastname: Wu
authors.forename: Yuguang
authors.initials: Y
authors.lastname: Sun
authors.forename: Song
authors.initials: S
authors.lastname: Xia
mesh_terms: D002913:Chyle; D005402:Fistula; D006801:Humans