Figure 4

Intraoperative findings. (a) Thoracic duct was resected with supraclaviclar metastatic lymph nodes. Each number shows: (1) external jugular vein; (2) resected thoracic duct; (3) internal jugular vein. (b) The inferior belly of the omohyoid muscle was cut distally and tightly sutured on the venous angle. (1) External jugular vein; (2) inferior belly of omohyoid muscle augmented to resected thoracic duct; (3) superior belly of omohyoid muscle