Ces radiol. 2025, 79(2):92-97 | DOI: 10.55095/CesRadiol2025/013

Treatment of postoperative lymphorrhea with oil lymphography and thoracic duct embolizationOriginal article

Vendelín Chovanec^{1, 2}, Antonín Krajina^{1, 2}, Ivo Hanke^{2, 3}, Vladimír Koblížek^{2, 4}, Pavel Ryška^{1, 2}, Jaroslav Pacovský^{2, 5}, Jan Raupach^{1, 2}

¹ Radiologická klinika FN, Hradec Králové

² Univerzita Karlova, Lékařská fakulta v Hradci Králové

³ Kardiochirurgická klinika FN, Hradec Králové

⁴ Plicní klinika FN, Hradec Králové

⁵ Urologická klinika FN, Hradec Králové Korespondenční adresa:

Aim: To evaluate the single-centre experience with oil contrast lymphography and percutaneous ductus thoracicus embolization in patients with lymphorrhea after thoracic and abdominal surgery.

Results: Oil lymphography was followed by ductus thoracicus embolization in one patient. No procedural complications were noted and the lymphatic leak disappeared in all patients. Patients were followed up between 6-91 months (median 26 months). No recurrence of lymphorrhea was occurred during follow-up.

Conclusion: In our experience, percutaneous procedures involving oil contrast lymphography and thoracic duct embolization for postoperative lymphorrhea in the thoracic region have a high therapeutic effect with minimal complications.

Keywords: lymphorea, thoracic duct, embolization, lymphography, intranodal, pedal, lipiodol.

Accepted: February 18, 2025; Published: June 6, 2025  Show citation