title: Massive lymphatic fluid leakage during laparoscopic lymphnode biopsy for abdominal malignancy.
abstract: This report concerns massive lymphatic fluid leakage during laparoscopic abdominal lymphnode biopsy for mesenteric tumor of non-Hodgkin's disease. Laparoscopic lymphnode biopsy was performed on a 58-year-old man who presented with a huge abdominal mass. The initial diagnosis was based on abdominal computed tomography, which revealed a large mass. This was followed by laparoscopic abdominal lymphnode biopsy for a definitive diagnosis. During the operation, massive lymphatic leakage up to about 300 mL occurred, but was stopped completely by electric coagulation. Histological examination indicated the mass to be a B-cell type non-Hodgkin's lymphoma. Hospitalization was uneventful, and the patient was discharged 7 days postoperatively to the Department of Internal Medicine for chemotherapy. This new endoscopic approach offers a useful alternative to the traditional transabdominal excision of intra-abdominal lymphnodes, although attention must be paid to possible complications including massive intraoperative lymphatic leakage.
authors.affiliation: Department of Gastroenterological Surgery, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kawaramachi-dori, Kyoto 602, Japan.
authors.forename: Chouhei
authors.initials: C
authors.lastname: Sakakura
authors.forename: Akeo
authors.initials: A
authors.lastname: Hagiwara
authors.forename: Hisashi
authors.initials: H
authors.lastname: Ikoma
authors.forename: Takuo
authors.initials: T
authors.lastname: Hamada
authors.forename: Mayuki
authors.initials: M
authors.lastname: Taniwaki
authors.forename: Morio
authors.initials: M
authors.lastname: Horiike
authors.forename: Hisakazu
authors.initials: H
authors.lastname: Yamagishi
mesh_terms: D000008:Abdominal Neoplasms / Q000473:pathology*; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D004564:Electrocoagulation; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008196:Lymph / Q000378:metabolism*; D008198:Lymph Nodes / Q000293:injuries / Q000473:pathology*; D008228:Lymphoma, Non-Hodgkin / Q000473:pathology*; D008297:Male; D008875:Middle Aged