The lymphatics in the pathophysiology of thoracic and abdominal surgical pathology: Immunological consequences and the unexpected role of microsurgery

Francesco Boccardo, Carlo Bellini, Costantino Eretta, Davide Pertile, Elisa Da Rin, Emanuela Benatti, Mirko Campisi, Giuseppina Talamo, Alberto Macciò, Corrado Campisi, Eugenio Bonioli, Corradino Campisi

Research output: Contribution to journalArticlepeer-review

Abstract

The authors report their experience in the diagnosis and treatment of lymphatic and chylous disorders in the thoracic and abdominal areas. Sixteen patients (10 adults, 6 children) affected by primary chylous ascites with associated syndromes and consequent immunological incompetence were studied. Diagnostic investigations included abdominal sonography scans, lymphoscintigraphy, and lymphography combined with computed tomography and laparoscopy. Surgical treatment included laparoscopy, drainage of ascites and/or the chylothorax, treatment of abdominal and retroperitoneal chylous leaks, exeresis of lymphodysplastic tissues, ligation of incompetent lymph vessels also by CO2 LASER, and chylo-venous and lympho-venous microsurgical shunts. Eleven patients did not have a relapse of the ascites and four patients had a persistence of a small quantity of ascites with no protein imbalance. All patients had an improvement of their immunocompetence. Median follow-up was 5 years. We demonstrated that the use of microsurgery is remarkably advantageous for performing a causal treatment of the dysfunction.

Original languageEnglish
Pages (from-to)339-345
Number of pages7
JournalMicrosurgery
Volume27
Issue number4
DOIs
Publication statusPublished - 2007

ASJC Scopus subject areas

  • Surgery

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