Successful treatment of refractory hepatic lymphorrhea after gastrectomy for early gastric cancer, using surgical ligation and subsequent OK-432 (Picibanil) sclerotherapy.
Postoperative hepatic lymphorrhea is a very rare complication after abdominal surgery. Hepatic lymphorrhea, not containing chyle, involves an internal lymph fistula between the lymphatic channels toward the cisterna chyli and the peritoneal cavity. Over the past 20 years, 17 cases have been reported in Japan. Here, we report a further case, of a patient with successfully treated intractable hepatic lymphorrhea following gastrectomy for early gastric cancer. We review 18 cases, including the present case, with respect to the management of postoperative lymphorrhea refractory to conventional medical treatment.
Tanaka
Kouji
K
The Second Department of Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Ohmori
Yukinari
Y
Mohri
Yasuhiko
Y
Tonouchi
Hitoshi
H
Suematsu
Mina
M
Taguchi
Yukiko
Y
Adachi
Yukihiko
Y
Kusunoki
Masato
M
D000368:Aged; D001201:Ascites / Q000209:etiology / Q000601:surgery; D005402:Fistula / Q000209:etiology / Q000601:surgery; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008026:Ligation; D008099:Liver / Q000473:pathology*; D008197:Lymph Node Excision; D008210:Lymphocele / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D010844:Picibanil / Q000627:therapeutic use; D011183:Postoperative Complications; D012008:Recurrence; D015911:Sclerotherapy; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000601:surgery*; D013997:Time Factors
D010844:Picibanil