title: Successful treatment of refractory hepatic lymphorrhea after gastrectomy for early gastric cancer, using surgical ligation and subsequent OK-432 (Picibanil) sclerotherapy.
abstract: 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.
authors.affiliation: The Second Department of Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
authors.forename: Kouji
authors.initials: K
authors.lastname: Tanaka
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Ohmori
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Mohri
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Tonouchi
authors.forename: Mina
authors.initials: M
authors.lastname: Suematsu
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Taguchi
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Adachi
authors.forename: Masato
authors.initials: M
authors.lastname: Kusunoki
mesh_terms: 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
chemical_list: D010844:Picibanil