title: Chylous ascites after laparoscopic donor nephrectomy.
abstract: Laparoscopic living-donor nephrectomy has decreased the disincentives to live renal donation with a risk of complications similar to that of open donor nephrectomy. We report a patient who developed chylous ascites after an otherwise-uneventful laparoscopic donor nephrectomy. On MEDLINE search, we could find only two other cases with similar complications. This condition has the potential to cause significant morbidity in the donor, which may reduce the advantages of the minimally invasive approach. We suggest that meticulous dissection of the renal hilum and clipping of lymphatic tissue around the renal vessels could prevent this untoward complication.
authors.affiliation: Department of Transplant Surgery, PGIMER, Chandigarh. ashish_chd@hotmail.com
authors.forename: Ashish
authors.initials: A
authors.lastname: Sharma
authors.forename: Munish
authors.initials: M
authors.lastname: Heer
authors.forename: S V
authors.initials: SV
authors.lastname: Subramanaym Malladi
authors.forename: Mukut
authors.initials: M
authors.lastname: Minz
mesh_terms: D002915:Chylous Ascites / Q000178:diet therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000009:adverse effects*; D019520:Living Donors; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods