title: [Conservative therapy in the treatment of cervical chylous leakage].
abstract: OBJECTIVE
  To explore and evaluate the combined conservative managements in the treatment of cervical chylous leakage.
  
  
  METHODS
  Thirty nine cases of cervical chylous leakage from June 1992 to June 2008 were retrospectively analyzed in this hospital. All of the 39 cases were cured by treating with conservative individualized therapy, including the applying of diet with high calorie, high protein and low fat and fatty food should only contains medium-chain triglycerides, total parenteral nutrition, keep the balance of hydrogen and electrolyte and correct hypoproteinemia, local pressure dressing, high persistent vacuum drainage (-50 approximately -80 kPa) and/or somatostatin analogue.
  
  
  RESULTS
  All the cases of chylous leakage happened 2nd to 5th days after the operation. Among the 39 cases, 7 were high flow (drainage>or=500 ml/d) chylous leakage, the amount of drainage reached as high as 1440 ml per day. The time of chylous leakage closure was 3 approximately 12 days, and the mean time was 7 days. No one experienced re-operation, wound hydrops or wound infection.
  
  
  CONCLUSIONS
  The conservative individualized therapy may play a key role in the treatment of cervical chylous leakage.
authors: Department of General Surgery, Tongji Hospital, Tongji Medical College, Science and Technology of Huazhong University, Wuhan 430030, China. wugs@tjh.tjmu.edu.cn
authors: Gao-song
authors: GS
authors: Wu
authors: Li-li
authors: LL
authors: Huang
authors: Shun-gui
authors: SG
authors: Tu
authors: Yan-yan
authors: YY
authors: Liu
authors: Jie
authors: J
authors: Liu
authors: Qun
authors: Q
authors: Yan
authors: Ji-lin
authors: JL
authors: Yi
authors: Sheng-quan
authors: SQ
authors: Zou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002915:Chylous Ascites / Q000209:etiology* / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications / Q000628:therapy*; D012189:Retrospective Studies; D055815:Young Adult