Conclusions
CL is a rare but potentially troublesome complication of head and neck oncological surgery involving neck dissections. Although medical measures are employed, non-resolving low and medium volume leaks as well as high-volume leaks may require surgical intervention. An agreed management protocol should be encouraged to manage patients with CL. Early VATS ligation of the TD provides a safe and an effective method of treating high-volume (>1000ml) CL refractory to medical interventions.