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Refractory Lymphatic Fistula after Pancreaticoduodenectomy Treated by Percutaneous Transhepatic Lymphography
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- Hozaka Yuto
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Kurahara Hiroshi
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Kawasaki Yota
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Minami Koji
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Mataki Yuko
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Sakoda Masahiko
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Maemura Kosei
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
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- Nagasato Kohei
- Department of Radiology, Kagoshima University
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- Hayashi Sadao
- Department of Radiology, Kagoshima University
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- Yoshiura Takashi
- Department of Radiology, Kagoshima University
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- Shinchi Hiroyuki
- Department of Health Sciences, School of Medicine, Kagoshima University
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- Natsugoe Shoji
- Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
Bibliographic Information
- Other Title
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- 膵頭部癌術後の難治性リンパ漏に対して経皮経肝リピオドールリンパ管造影が著効した1例
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Description
<p>Lymphorrhea is a relatively rare postoperative complication. We report a case of a 78-year-old man who experienced refractory lymphorrhea after pancreaticoduodenectomy with D2 lymph node dissection for pancreatic cancer. Fasting treatment with total parenteral nutrition and subcutaneous injection of octreotide were not effective. We performed percutaneous lymphography using lipiodol from the bilateral inguinal lymphatic vessels because we first took into account the possibility of lymphorrhea due to para-aortic lymph node sampling. However, the lymphorrhea could not be cured. Furthermore, we performed percutaneous transhepatic lymphography (PTL) by using lipiodol because we considered the possibility of lymphorrhea due to lymph node dissection in the hepatoduodenal ligament. Leakage of the lipiodol around the choledochojejunostomy was observed and lymphorrhea was cured completely 5 days after PTL. PTL is considered to be an effective treatment method for intractable lymphorrhea after pancreatic cancer surgery.</p>
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 50 (9), 721-727, 2017
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390282679899221120
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- NII Article ID
- 130006088652
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed
