Chylous ascites after laparoscopic donor nephrectomy.
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.
Sharma
Ashish
A
Department of Transplant Surgery, PGIMER, Chandigarh. ashish_chd@hotmail.com
Heer
Munish
M
Subramanaym Malladi
S V
SV
Minz
Mukut
M
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