Chylous ascites as a complication of laparoscopic donor nephrectomy.
Laparoscopic living donor nephrectomy (LLDN) is a minimally invasive technique for kidney procurement and was developed with the hope of reducing the disincentives associated with live renal donation. Compared with open donor nephrectomy (ODN), this alternative has many advantages including less postoperative pain and earlier return to work. Unfortunately, these benefits are sometimes negated by postoperative complications. Among these, chylous ascites (CA) is a rare but serious problem that is usually managed conservatively. We report the case of a living donor who developed CA refractory to initial conservative management and surgical treatment. We also discuss the role of surgery in the treatment of CA following LLDN.
Caumartin
Yves
Y
Service d'Urologie, Centre Hospitalier Universitaire de Québec, pavillon Hôtel-Dieu de Québec, Université Laval, Québec, Canada.
Pouliot
Frédéric
F
Sabbagh
Robert
R
Dujardin
Thierry
T
D002915:Chylous Ascites / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods*; D010535:Laparoscopy / Q000379:methods; D019520:Living Donors; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D013997:Time Factors; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods; D014057:Tomography, X-Ray Computed