A review of the postoperative lymphatic leakage

Shulan Lv, Qing Wang, Wanqiu Zhao, Lu Han, Qi Wang, Nasra Batchu, Qurat Ulain, Junkai Zou, Chao Sun, Jiang Du, Qing Song and Qiling Li _

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Oncotarget. 2017; 8:69062-69075. https://doi.org/10.18632/oncotarget.17297

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Shulan Lv1,*, Qing Wang1,*, Wanqiu Zhao2,*, Lu Han1, Qi Wang1, Nasra Batchu1, Qurat Ulain1, Junkai Zou1, Chao Sun1, Jiang Du1, Qing Song1,3,4 and Qiling Li1,4

1Department of Obstetrics and Gynecology, First Affiliated Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China

2Northwest Women’s and Children’s Hospital, Xi’an, Shaanxi, China

3Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, USA

4Center of Big Data and Bioinformatics, First Affiliated Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China

*Co first authors

Correspondence to:

Qiling Li, email: [email protected]

Keywords: lymphatic leakage, postoperation, complication, chylous ascites, chylothorax

Received: January 04, 2017     Accepted: April 11, 2017     Published: April 20, 2017


Lymphatic complications are rare, but well-known phenomena, and have been described by many researchers. However, many diagnoses of lymphatic complications are found confusing due to different definition. A literature search in Pubmed was performed for studies postoperative lympatic complications. These complications divided into two parts: lymphatic leakage and lymphatic stasis. This review is about lymphatic leakage, especially, postoperative lymphatic leakage due to the injury of lymphatic channels in surgical procedures. According to polytrophic consequences, many types of postoperative lymphatic leakage have been presented, including lymph ascites, lymphocele, lymphorrhea, lymphatic fistula, chylous ascites, chylothorax, chyloretroperitoneum and chylorrhea. In this review, we focus on the definition, incidence and treatment about most of these forms of lymphatic complications to depict a comprehensive view of postoperative lymphatic leakage. We hold the idea that the method of treatment should be individual and personal according to manifestation and tolerance of patient. Meanwhile, conservative treatment is suitable and should be considered first.

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