Clinical Case: Percutaneous Translumbar Puncture and Embolization of Lymphatic Ducts under the Control of Flat-Detector Computed Tomography (FDCT) — an Effective Method for the Treatment of Lymphorrhea after Retroperitoneal Lymphadenectomy
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Keywords

lymphorrhea
lymphangiography
embolization
etroperitoneal lymphadenectomy
testicular germ cell tumors

How to Cite

Mamizhev, E. M., Balakhnin, P. V., Rumiantseva, D. I., Malkevich, V. I., & Nosov, A. K. (2025). Clinical Case: Percutaneous Translumbar Puncture and Embolization of Lymphatic Ducts under the Control of Flat-Detector Computed Tomography (FDCT) — an Effective Method for the Treatment of Lymphorrhea after Retroperitoneal Lymphadenectomy. Voprosy Onkologii, 70(6), 1215–1222. https://doi.org/10.37469/0507-3758-2024-70-6-1215-1222

Abstract

Intranodal lymphangiography with percutaneous lymphatic embolization is currently a promising method for the treatment of profuse postoperative lymphorrhea. We present two successful clinical cases of treatment of chylous ascites in patients following retroperitoneal lymphadenectomy for testicular germ cell tumor. In both cases, stable relief of the complication was achieved with a significant improvement in the patients' quality of life.

https://doi.org/10.37469/0507-3758-2024-70-6-1215-1222
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##article.numberofviews## 27
pdf (Русский)

References

Zheng W.C., Ke Z.B., Wu Y.P., et al. Risk factors for lymphorrhea and lymphocele after radical prostatectomy: a retrospective case–control study. World J Urol. 2023; 41(4): 1033-9.-DOI: https://doi.org/10.1007/s00345-023-04321-2.

Partin A.W., Wein A.J., Kavoussi L.R., et al. Campbell walsh wein urology. 12th Edition - January 21, 2020. Elsevier Health Sciences. Hardback. ISBN: 9780323546423. eBook ISBN: 9780323672276.

Evans J.G., Spiess P.E., Kamat A.M., et al. Chylous ascites after post-chemotherapy retroperitoneal lymph node dissection: review of the M.D. Anderson experience. Urol J. 2006; 176(4): 1463-7.-DOI: https://doi.org/10.1016/j.juro.2006.06.016.

Lv S., Wang Q., Zhao W., et al. A review of the postoperative lymphatic leakage. Oncotarget. 2017; 8(40): 69062-75.-DOI: https://doi.org/10.18632/oncotarget.17297.

Al-Busafi S.A., Ghali P., Deschênes M., Wong P. Chylous ascites: evaluation and management. ISRN Hepatology. 2014; 2014: 1-10.-DOI: https://doi.org/10.1155/2014/240473.

Stueven A.K., Kayser A., Wetz C., et al. Somatostatin analogues in the treatment of neuroendocrine tumors: past, present and future. Int J Mol Sci. 2019; 20(12): 3049.-DOI: https://doi.org/10.3390/ijms20123049.

Karaca S, Gemayel G, Kalangos A. Somatostatin treatment of a persistent chyloperitoneum following abdominal aortic surgery. J Vasc Surg. 2012; 56(5): 1409-12.-DOI: https://doi.org/10.1016/j.jvs.2012.05.004.

Lu L., Hou Q., Hu Z., et al. Harmonic scalpel versus monopolar electrotome in endoscopic-assisted transaxillary dual-plane augmentation mammaplasty: a retrospective study in 122 patients. Aesthetic Plast Surg. 2023; 48(3): 273-81.-DOI: https://doi.org/10.1007/s00266-023-03747-8.

Adwani A., Ebbs S.R. Ultracision reduces acute blood loss but not seroma formation after mastectomy and axillary dissection: a pilot study. Int J Clin Pract. 2006; 60(5): 562-4.-DOI: https://doi.org/10.1111/j.1742-1241.2006.00689.x.

Carless P.A., Henry D.A. Systematic review and meta-analysis of the use of fibrin sealant to prevent seroma formation after breast cancer surgery. BJS. 2006; 93(7): 810-9.-DOI: https://doi.org/10.1002/bjs.5432.

Mihara M., Hara H., Araki J., et al. Indocyanine green (ICG) lymphography is superior to lymphoscintigraphy for diagnostic imaging of early lymphedema of the upper limbs. Ed. by Gelovani J.G. PLoS ONE. 2012; 7(6): e38182.-DOI: https://doi.org/10.1371/journal.pone.0038182.

Shirotsuki R., Uchida H., Tanaka Y., et al. Novel thoracoscopic navigation surgery for neonatal chylothorax using indocyanine-green fluorescent lymphography. J Pediatr Surg. 2018; 53(6): 1246-9.-DOI: https://doi.org/10.1016/j.jpedsurg.2018.01.019.

Lee E.W., Shin J.H., Ko H.K., et al. Lymphangiography to treat postoperative lymphatic leakage: a technical review. KJR. 2014; 15(6): 724.-DOI: https://doi.org/10.3348/kjr.2014.15.6.724.

Nadolski G.J., Itkin M. Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. JVIR. 2012; 23(5): 613-6.-DOI: https://doi.org/10.1016/j.jvir.2012.01.078.

Onishi Y., Moribata Y., Shimizu H., et al. Intranodal lymphangiography during surgical repair of pelvic lymphorrhea after radical cystectomy. Ed. by Goel A. Urol Case Rep. 2021; 2021: 1-4.-DOI: https://doi.org/10.1155/2021/7822422.

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