Surgical management of chronic lymphatic pleural effusions and chronic lymphatic ascites.

Yoav Dori, Pablo Laje, Christopher Smith, Katsuhide Maeda

Journal: Seminars in pediatric surgery 2024;33(3):151420

PMID: 38796975

Full Text on Elsevier Science View on PubMed

Abstract

Patients with central lymphatic conduction disorders commonly have recalcitrant pleural effusions and or ascites. These conditions cause a profound deterioration in the patient's quality of life. Support measures such as low-fat diet and diuretics alone hardly ever provide meaningful improvement. New understanding of the pathophysiology of these disorders has opened the door in recent years to the development of several surgical procedures that have remarkable success rates. However, these patients must be managed by expert multidisciplinary teams.

Address: Center for Lymphatic Disorders, Children's Hospital of Philadelphia, University of Pennsylvania. Electronic address: [email protected].; Center for Lymphatic Disorders, Children's Hospital of Philadelphia, University of Pennsylvania.

DOI: 10.1016/j.sempedsurg.2024.151420

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MeSH Terms: Humans, Pleural Effusion, Chronic Disease, Ascites, Lymphedema, Child, Chylous Ascites