Refractory Lymphatic Fistula after Pancreaticoduodenectomy Treated by Percutaneous Transhepatic Lymphography

  • Hozaka Yuto
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Kurahara Hiroshi
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Kawasaki Yota
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Minami Koji
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Mataki Yuko
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Sakoda Masahiko
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Maemura Kosei
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University
  • Nagasato Kohei
    Department of Radiology, Kagoshima University
  • Hayashi Sadao
    Department of Radiology, Kagoshima University
  • Yoshiura Takashi
    Department of Radiology, Kagoshima University
  • Shinchi Hiroyuki
    Department of Health Sciences, School of Medicine, Kagoshima University
  • Natsugoe Shoji
    Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University

Bibliographic Information

Other Title
  • 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

Search this article

Abstract

<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

Citations (3)*help

See more

References(9)*help

See more

Details 詳細情報について

Report a problem

Back to top