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논문 기본 정보

자료유형
학술저널
저자정보
Yi Ju Hyeon (Yonsei University College of Medicine, Seoul, Korea.) Jeong Ho Jung (Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.) Lee Jin Seok (Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.) Yun Hyeok Jun (Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.) Lee Yong Sang (Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.) Chang Hang-Seok (Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.)
저널정보
대한갑상선-내분비외과학회 The Journal of Endocrine Surgery Journal of Endocrine Surgery 제24권 제1호
발행연도
2024.3
수록면
9 - 13 (5page)
DOI
10.16956/jes.2024.24.1.9

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초록· 키워드

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Chyle leakage (CL) is a rare complication of thyroidectomy. Most patients respond to conservative management, whereas some require surgical intervention. In this report, we discuss the case of a 67-year-old male patient diagnosed with papillary thyroid cancer, who underwent bilateral total thyroidectomy with central compartment neck dissection and left lateral neck dissection. Five days after surgery, the patient developed neck swelling. Despite conservative management with daily aspiration, there was no improvement and dyspnea recurred. Thoracic duct embolization (TDE) was performed by lymphangiography. Consequently, the CL improved. There are various treatments, ranging from conservative treatment to surgical treatment, but there is no consensus on the appropriate management of CL. The patient received only conservative treatment for the low-output chyle leak; however, there was no response. TDE has been reported to have a high success rate for treating CL. TDE is an effective nonsurgical intervention for CL after thyroid surgery.

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