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Title: Effectiveness of lymphangiography and lymphatic interventions in lymphatic leaks.
e-poster Number: EPOS 36
Category: e Poster
Author Name: Dr. Varsha Kedar
Institute:
Co-Author Name:
Abstract :
AIMS/PURPOSES : Postoperative chylothorax is a serious complication after transabdominal surgeries or transthoracic esophagectomy, and is associated with major morbidity due to dehydration and malnutrition. Radiologic interventional management is an innovative procedure that has the potential to replace surgery in the treatment algorithm.
Evaluation of the outcome of lymphangiography and lymphatic interventions in patients with lymphatic leak & role of interventional radiology/minimally invasive procedures in management of such patients. To evaluate clinical success in patients with lymphatic leaks by performing intranodal lymphangiography +/- other realted interventional procedures.
MATERIAL AND METHODS: 44 patients underwent lymphangiography for suspected chyle leak during the span of last 10 year (January 2012 to December 2021). Male :Female::28:16(mean Age 50.6 years).lymphangiography was combined with various other interventions such as intranodal glue, retrograde thoracic duct cannulation, sclerotherapy etc. Surgical management was performed in 39 patients.Non-surgical management was done in 5.
The results were retrospectively analyzed to evaluate the outcomes in terms of efficacy and clinical success in resolution/decrease in the chyle leak output
Results: Intranodal lymphangiography was performed in patients (44 in no.) to begin with.
Leak was noted in 18 out of 44 patients.
77.3% patients had resolution/improvement in chylous output (clinically successful).
Embolization procedures were clinically successful in 15 out of 18 patients who had technically successful TDE.
There was no procedure related mortality or any major complications
Conclusion: Lymphangiography and Lymphatic interventions are minimally invasive, safe and viable technique in patients who are poor surgical candidates or whose leaks are not responding to conservative measures.
