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.