title: [Methods in draining surgical procedures performed on the thoracic lymphatic duct in liver cirrhosis].
abstract: During the period from 1980 till 2000 212 operations were performed on the thoracic lymphatic duct (TLD). Different modifications of the lympho-venous anastomosis were used in 160 (75.4%) of them, direct external drainage of TLD in 41 (20%) patients, ductolysis of TLD in 11 (5%) patients. In order to get lymph from TLD and for the following lymphosorption two kinds of operations were used: direct external drainage of TLD or of one of its branches and the formation of lymphovenous anastomosis (most frequently anastomosis of TLD with the external jugular vein) in combination with lymphaticostomy. A technique of chronic catheterization of TLD is proposed which allows performing external drainage of the duct for the following courses of lymphosorption in activation of cirrhosis without reoperations. When withdrawing the catheter from TLD the author recommends to make a relaxation suture tied during elimination of the drainage. It prevents lymphedema of the tissues and the formation of lymphatic fistulas.
authors.forename: T L
authors.initials: TL
authors.lastname: Pirakhalova
mesh_terms: D002908:Chronic Disease; D004322:Drainage / Q000295:instrumentation*; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D042601:Lymphatic Vessels / Q000601:surgery*; D013909:Thorax