Diagnosis and management of chyle leak following axillary dissection

Misha Sidapra; Mairi Fuller; Yazan A Masannat

doi:10.1016/j.surge.2019.12.001

Diagnosis and management of chyle leak following axillary dissection

Surgeon. 2020 Dec;18(6):360-364. doi: 10.1016/j.surge.2019.12.001. Epub 2020 Jan 11.

Authors

Misha Sidapra¹, Mairi Fuller¹, Yazan A Masannat²

Affiliations

¹ Aberdeen Royal Infirmary, NHS Grampian, Foresterhill Campus, Aberdeen, Scotland, AB25 2ZN, United Kingdom; University of Aberdeen, School of Medicine, Medical Science and Nutrition, Polwarth Building University Medical Buildings, Foresterhill, Aberdeen, Scotland, AB25 2ZD, United Kingdom.
² Aberdeen Royal Infirmary, NHS Grampian, Foresterhill Campus, Aberdeen, Scotland, AB25 2ZN, United Kingdom; University of Aberdeen, School of Medicine, Medical Science and Nutrition, Polwarth Building University Medical Buildings, Foresterhill, Aberdeen, Scotland, AB25 2ZD, United Kingdom. Electronic address: yazanmas@hotmail.com.

PMID: 31932227
DOI: 10.1016/j.surge.2019.12.001

Abstract

Chyle leak following oncological breast and axillary surgery is a rare complication with small number of reported cases in the literature and little formal guidance regarding management. We present a review of the current literature and further related guidance from other specialties, along with suggested strategies for identification, diagnosis and management of this uncommon but potentially significant complication.

Keywords: Axillary node clearance; Breast cancer; Chyle leak.

Publication types

Review

MeSH terms

Axilla
Breast Neoplasms / surgery
Chyle*
Female
Humans
Lymph Node Excision / adverse effects*
Mastectomy / adverse effects
Postoperative Complications / diagnosis*
Postoperative Complications / epidemiology
Postoperative Complications / therapy*