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Interventional radiology for lymphatic leakage after surgery Masanori Inoue 1 1Department of Diagnostic Radiology Keio University School of Medicine Keyword: リンパ漏 , リンパ管造影 , 塞栓術 pp.1495-1511
Published Date 2023/12/10
DOI https://doi.org/10.18888/rp.0000002585
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The lymphatic system is present throughout the body, and postoperative lymphatic leakage is a potential complication that usually improves conservatively and rarely results in refractory lymphatic leakage. As the lymphatic system plays an important role in the immune system, transport of metabolites, and fluid balance, postoperative refractory lymphatic leakage can be a serious condition. In particular, chylothorax, in which a large amount of lymph fluid accumulates in the thoracic cavity, has been reported to be refractory to pleurodesis and can be severe. Interventional radiology(IVR)is a relatively new treatment for lymphatic leakage and has been rapidly spreading throughout Japan in recent years. In particular, thoracic duct embolization for chylothorax has become the first treatment of choice in limited hospitals. However, IVR for lymphatic leakage varied remarkably and a systematic treatment strategy has not yet been established. The purpose of this article is to provide a systematic overview of the currently available IVR treatment strategies for postoperative lymphatic leakage. Additionally, various lymphangiography techniques that are essential for lymphatic IVR will also be mentioned.


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電子版ISSN 印刷版ISSN 0009-9252 金原出版

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