Lymphonodovenous anastomosis in the treatment of chyluria
Hou, L.Q.; Liu, Q.Y.; Kong, Q.Y.; Luo, C.Z.; Kong, Q.A.; Li, L.X.; Li, G.J.
Chinese Medical Journal 104(5): 392-394
1991
ISSN/ISBN: 0366-6999 PMID: 1879208 Document Number: 377141
Thirty cases of chyluria were treated by means of lymphonodovenous anastomoses according to the principles of lymphovenous shunt. A conical tissue of lymph node close to the greater saphenous vein in the inguinal region was removed and the remaining tunnel-shaped node was anastomosed to the vein to drain the lymph into the venous system. Twenty-one cases were followed up for six months after the operation. Among them, 16 (76.2%) showed disappearance of chyluria, and 2 (9.5%) were improved, giving an effective rate of 85.7%. This operation avoids damage to both the afferent and efferent lymphatic vessels, and affords a large anastomotic stoma for free passage of the lymph into the vein.