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Postoperative chyle leak is an exceedingly rare complication following breast and axillary surgery. We present the first described case of chyle leak following breast-conserving surgery and sentinel lymph node biopsy. Management should begin with appropriated conservative measures aimed at reduction of lymph production and flow. Intervention is warranted when conservative strategies fail and include sclerotherapy, lymphangiography, embolization, and surgery. Breast surgeons should be mindful of this potential complication when operating in the axilla and be familiar with its stepwise management.
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http://dx.doi.org/10.1111/tbj.13533 | DOI Listing |
Introduction: Surgical resection, with or without neoadjuvant therapy, remains the primary treatment for oesophageal cancer. The two main surgical approaches are open oesophagectomy (OE) and hybrid minimally invasive oesophagectomy (HMIE). However, their relative safety and efficacy remain controversial.
View Article and Find Full Text PDFCardiovasc Intervent Radiol
September 2025
Director, Interventional Oncology, Division of Interventional Radiology, Department of Imaging Sciences, University of Rochester, Rochester, New York, USA.
Indian J Thorac Cardiovasc Surg
September 2025
Interventional Radiology, K.M.C Mangalore, Mangalore, India.
Chylothorax is a rare complication of cardiothoracic surgery which is associated with increased morbidity and mortality. Surgical intervention is necessary in cases refractory to the traditional medical management. However, the increased morbidity and mortality rates of surgical intervention are heralding the growing popularity of percutaneous intervention.
View Article and Find Full Text PDFAnn Otol Rhinol Laryngol
August 2025
Otolaryngology Division, Department of Surgery, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, USA.
Objectives: Chylous fistula or "chyle leak" is a rare complication of head and neck surgery that can be exceedingly difficult to manage. Traditional treatments include pressure dressings, dietary modification, octreotide administration, closed suction drainage, and revision surgery. In 2017, the Otolaryngology team at the University of New Mexico Hospital (UNMH) began implementing negative pressure wound therapy (NPWT) in conjunction with traditional conservative measures to treat chylous fistula.
View Article and Find Full Text PDFJTCVS Tech
August 2025
Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colo.
Background: Aberrant subclavian artery (ASA), though rare, can cause dysphagia lusoria and significantly affect quality of life. Conventional treatment involves open ligation and division of ASA, but a robotic approach is becoming more popular. This study assessed outcomes in patients undergoing robotic ASA division.
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