Iatrogenic Thoracic Duct (TD) injury is a serious complication of neck surgery. TD embolization after Intranodal Lymphangiography (INL) has been reported to be safe and successful. Retrograde catheterization of the TD through a cervical lymphocyte without using INL could be challenging due to difficult visualization of the TD. The authors describe a method to increase the turgor of the TD thus facilitate its visualization and cannulation by evoking chyle production using high fat diet in combination with a closed drainage system. The method proved to be practical and safe.
Published Date: 2022-10-17; Received Date: 2022-07-21
