Anatomical variations in distal portion of the thoracic duct—A systematic review

2019 ◽  
Vol 33 (1) ◽  
pp. 99-107 ◽  
Author(s):  
Alexandre Bellier ◽  
Juan Sebastian Pardo Vargas ◽  
Julie Cassiba ◽  
Paul Desbrest ◽  
Alicia Guigui ◽  
...  
Keyword(s):  
Systematic Review ◽  
Thoracic Duct ◽  
Anatomical Variations ◽  
Distal Portion

665 PROPHYLACTIC THORACIC DUCT OBSTRUCTION DURING ESOPHAGECTOMY: THE IMPACT ON PERIOPERATIVE RISKS AND LONG-TERM SURVIVAL. A SYSTEMATIC REVIEW AND META-ANALYSIS

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Clara Santos ◽  
Laura Santos ◽  
Leticia Datrino ◽  
Guilherme Tavares ◽  
Luca Tristão ◽  
...  
Keyword(s):  
Systematic Review ◽  
Overall Survival ◽  
Postoperative Complications ◽  
Thoracic Duct ◽  
Meta Analysis ◽  
Term Survival ◽  
Long Term Survival ◽  
Thoracic Duct Ligation ◽  
Duct Ligation

Abstract   During esophagectomy for cancer, there is no consensus if prophylactic thoracic duct ligation (TDL), with or without thoracic duct resection (TDR), could influence the perioperative outcomes and long-term survival. This systematic review and meta-analysis compared patients who went through esophagectomy associated or not to ligation or resection of the thoracic duct. Methods A systematic review was conducted in PubMed, Embase, Cochrane Library Central and Lilacs (BVS). The inclusion criteria were: (1) studies that compare thoracic duct ligation, with or without resection, and non-thoracic duct ligation; (2) involve adult patients with esophageal cancer; (3) articles that analyses the outcomes—perioperative complications, perioperative mortality, chylothorax development and overall survival; (4) only clinical trials and cohort were accepted. A 95% confidence interval (CI) was used, and random-effects model was performed. Results Fifteen articles were selected, comprising 6,249 patients. TDL did not reduce the risk for chylothorax (Risk difference [RD]: -0.01; 95%CI: −0.02, 0.00). Also, TDL did not influence the risk for complications (RD: -0.02; 95%CI: −0.11, 0.07); mortality (RD: 0.00; 95%CI: −0.00, 0.00); and reoperation rate (RD: -0.01; 95%CI: −0.02, 0.00). TDR was associated with higher risk for postoperative complications (RD: 0.1; 95%CI 0.00, 0.19); chylothorax (RD: 0.02; 95%CI 0.00, 0.03). Both TDL and TDR did not influence the overall survival rate (TDL: HR: 1.17; 95%CI: 0.86, 1.48; and TDR: HR: 1.16; 95%CI: 0.8, 1.51). Conclusion Thoracic duct obliteration with or without its resection during esophagectomy does not change long term survival. Nonetheless, TDR increased the risk for postoperative complications and chylothorax.

scholarly journals Does prophylactic ligation of the thoracic duct reduce chylothorax rates in patients undergoing oesophagectomy? A systematic review and meta-analysis

2016 ◽  
Vol 50 (6) ◽  
pp. 1019-1024 ◽  
Author(s):  
Pierfilippo Crucitti ◽  
Giuseppe Mangiameli ◽  
Tommasangelo Petitti ◽  
Adalgisa Condoluci ◽  
Raffaele Rocco ◽  
...  
Keyword(s):  
Systematic Review ◽  
Thoracic Duct ◽  
Meta Analysis

scholarly journals Anatomical Variations of the Nasal Cavities and Paranasal Sinuses: A Systematic Review

Cureus ◽  
2021 ◽  
Author(s):  
Anna-Maria Papadopoulou ◽  
Dimosthenis Chrysikos ◽  
Alexandros Samolis ◽  
George Tsakotos ◽  
Theodore Troupis
Keyword(s):  
Systematic Review ◽  
Paranasal Sinuses ◽  
Anatomical Variations ◽  
Nasal Cavities

scholarly journals A new classification system for the anatomical variations of the human circle of Willis: A systematic review

2021 ◽  
Author(s):  
James R. Ayre ◽  
Peter J. Bazira ◽  
Mohammed Abumattar ◽  
Haran N. Makwana ◽  
Katherine A. Sanders
Keyword(s):  
Systematic Review ◽  
Classification System ◽  
Anatomical Variations ◽  
Circle Of Willis ◽  
New Classification

Anatomical variations of the pyramidalis muscle: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Roberto Cirocchi ◽  
Isaac Cheruiyot ◽  
Brandon Michael Henry ◽  
Marco Artico ◽  
Sara Gioia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Anatomical Variations

Anatomical variations of the formation and course of the sural nerve: A systematic review and meta-analysis

2015 ◽  
Vol 202 ◽  
pp. 36-44 ◽  
Author(s):  
Piravin Kumar Ramakrishnan ◽  
Brandon Michael Henry ◽  
Jens Vikse ◽  
Joyeeta Roy ◽  
Karolina Saganiak ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sural Nerve ◽  
Meta Analysis ◽  
Anatomical Variations

scholarly journals Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

2014 ◽  
Vol 21 (1) ◽  
pp. 51-60 ◽  
Author(s):  
M. Zenteno ◽  
F. Viñuela ◽  
L.R. Moscote-Salazar ◽  
H. Alvis-Miranda ◽  
R. Zavaleta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Factor ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Medical Therapy ◽  
Internal Carotid ◽  
Anatomical Variations ◽  
Massive Bleeding ◽  
Clinical Implications ◽  
Best Medical Therapy

Abstract Anatomical variations of the internal carotid artery are diverse. Abnormalities in their geometry and paths are commonly identified by ultrasonography and angiography. The surgical correction of symptomatic CAs is better in preventing stroke compared with best medical therapy, as well as it completely eliminates the symptoms in patients with nonhemispheric symptoms. The ICA anomalies may be dangerous and represent a risk factor for massive bleeding. Suture ligatures can penetrate and occlude torn vessels, scalpels or biting instruments can lacerate vessels, and indirectly conducted electric cauterization can burn the soft of bony tissues

scholarly journals Anatomical variations of mandibular canal detected by panoramic radiography and CT: a systematic review and meta-analysis

2016 ◽  
Vol 45 (2) ◽  
pp. 20150310 ◽  
Author(s):  
Letícia F Haas ◽  
Kamile Dutra ◽  
André Luís Porporatti ◽  
Luis A Mezzomo ◽  
Graziela De Luca Canto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Panoramic Radiography ◽  
Meta Analysis ◽  
Anatomical Variations ◽  
Mandibular Canal

scholarly journals Prophylactic Thoracic Duct Obstruction During Esophagectomy: What Is the Impact on Perioperative Risks and Long-term Survival? a Systematic Review and Meta-analysis

2021 ◽  
Vol 233 (5) ◽  
pp. e185
Author(s):  
Clara Lucato dos Santos ◽  
Laura Lucato dos Santos ◽  
Leticia N. Datrino ◽  
Guilherme Tavares ◽  
Luca S. Tristão ◽  
...  
Keyword(s):  
Systematic Review ◽  
Thoracic Duct ◽  
Meta Analysis ◽  
Term Survival ◽  
Long Term Survival ◽  
Duct Obstruction ◽  
Perioperative Risks ◽  
The Impact
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