Usefulness of CBCT and guidance software for percutaneous embolization of a lymphatic leakage after thyroidectomy for cancer.
Lymphatic leakage can develop as an iatrogenic complication of thoracic, cardiac, and neck surgery. The management of this complication may be challenging and involves more specialists. Percutaneous, image-guided techniques may offer two advantages: mini-invasivity and ability to image and identify the anatomy and the site of the leakage. We report a case of refractory cervical chylous leakage after thyroidectomy and lymphadenectomy for cancer that was successfully treated with an ultrasound-guided intranodal lymphangiography and a percutaneous puncture of the leak performed using CBCT as imaging guidance.
Insubria University, Interventional Radiology, Department of Radiology, Varese, Italy.
Anna Maria
AM
Ierardi
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
Vincenzo
V
Pappalardo
Jilin Provincial Key Laboratory of Surgical Translational Medicine, Japan Union Hospital of Jilin University, Division of Thyroid Surgery, Changchun 130033, China.
Xiaoli
X
Liu
Department of Otolaryngology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Che-Wei
CW
Wu
Department of Surgery, Police General Hospital, Faculty of Medicine, Siam University, Pathumwan, Bangkok, Thailand.
Angkoon
A
Anuwong
KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Korea.
Hoon Yub
HY
Kim
The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Renbin
R
Liu
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
Matteo
M
Lavazza
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
Davide
D
Inversini
Insubria University, Interventional Radiology, Department of Radiology, Varese, Italy.
Andrea
A
Coppola
Insubria University, Interventional Radiology, Department of Radiology, Varese, Italy.
Chiara
C
Floridi
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
Luigi
L
Boni
Diagnostic and Interventional Radiology Unit, Department of Health Sciences, University of Milan, Milan, Italy.
Gianpaolo
G
Carrafiello
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
Gianlorenzo
G
Dionigi
Interventional; Surgery; electromyography; lymphatic leakage; percutaneous treatment; postoperative complications; radiography; thyroid cancer