Lymphaticovenular-anastomosis treatment of the peripheral component in chyle leakage after axillary surgery: case report and review

Axillary lymph node dissection-dependent chyle leakage is a rare complication with an incidence of < 0.7%. The morbidity could be high, and the management prolonged not clear. literature offers us many therapeutical tools, yet there no consensus about this complication. Usually, focuses on reducing flow in thoracic duct (central origin), neglecting possibility parallel lymphorrhea from other regional lymphatic vessels (peripheral which causes approach high morbidity. In paper, we introduce supermicrosurgery technique as surgical therapeutic option for leakage. To decrease shorten treatment duration, offer algorithm based our experience.