Thoracic Duct Injuries

Management of thoracic duct injuries after oesophagectomy

“…In the root of the neck, it arches forward and laterally to emerge between the left subclavian and common carotid arteries. It then passes between the internal jugular vein and the scalenus anterior muscle to join the left subclavian vein at the angle it makes with the left internal jugular vein 33 . Although this is the classical course, variations are common and include lymphatic and lymphaticovenous anastomoses, duplication of ducts, multiple cross channels and even a completely right-sided system 34 ; the classic duct occurs in only about half the population.…”

Crushed Muscle Tissue Graft: A Efficient Repair Technique for Intraoperative Chylous Fistulas

“…14,15 The complications like delayed wound healing due to skin flap elevation later delaying the required adjuvant radiotherapy can lead onto fatal morbidity later on. 4 Apart from complications like electrolyte imbalances, protein loss, and lymphocytopenia due to long-term chylous leakage major complications like myocutaneous flap failures, carotid blowout and rarely chylothorax have been reported.…”