Treating external chylous fistula with retroperitoneal lymphangiectomy plus lymph-vein shunting.
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.
Sun
Yingxian
Y
Department of Surgery, Beijing Police Hospital, Beijing 100006, China.
Shen
Wenbin
W
Geng
Wande
W
Wu
Guofu
G
Sun
Yuguang
Y
Xia
Song
S
D002913:Chyle; D005402:Fistula; D006801:Humans