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Factors predisposing to chyle leakage following thyroid cancer surgery without lateral neck dissection

Authors
 Yong Sang Lee  ;  Bup-Woo Kim  ;  Hang-Seok Chang  ;  Cheong Soo Park 
Citation
 HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol.35(8) : 1149-1152, 2013 
Journal Title
 HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK 
ISSN
 1043-3074 
Issue Date
2013
MeSH
Adult ; Age Factors ; Body Mass Index ; Carcinoma/pathology* ; Carcinoma/surgery* ; Chyle* ; Female ; Humans ; Male ; Middle Aged ; Neck Dissection ; Retrospective Studies ; Risk Factors ; Sex Factors ; Thyroid Neoplasms/pathology* ; Thyroid Neoplasms/surgery* ; Thyroidectomy*
Keywords
thyroid cancer ; chyle ; leakage ; central compartment node dissection ; lateral neck dissection
Abstract
BACKGROUND: The aims of this study were to assess the clinicopathologic features of patients with chyle leakage following thyroid cancer surgery without lateral neck dissection and to evaluate the factors associated with chyle leakage. METHODS: Of 3137 patients who underwent thyroid surgery between January 2006 and December 2007, 2314 patients (73.8%) satisfied our inclusion criteria. Patients were divided into those with (group I, n = 14) and without (group II, n = 2300) chyle leakage. RESULTS: There were no significant differences between the 2 groups in clinicopathologic features including age, body mass index, extent of thyroidectomy, pathologic type, tumor size, multiplicity, capsular invasion, and coexisting thyroiditis. In univariate and multivariate analyses, male sex, age >45 years, and number of harvested central nodes were significantly associated with chyle leakage. CONCLUSIONS: If extensive central compartment node dissection is needed, meticulous dissection is required, especially in male patients, and aged >45 years, even without lateral neck dissection.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.23104/abstract
DOI
10.1002/hed.23104
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bup Woo(김법우) ORCID logo https://orcid.org/0000-0002-1342-9055
Park, Cheong Soo(박정수)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87578
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