title: Two cases of chyloretroperitoneum following retroperitoneoscopic nephroureterectomy.
abstract: Post-operative chyloretroperitoneum is a rare complication in urological surgery. We experienced two cases of post-operative chyloretroperitoneum following retroperitoneoscopic left nephroureterectomy. Both cases were treated successfully with drainage, low fat diet, total parenteral nutrition (case 1 only), sclerotherapy and somatostatin analog. Laparoscopic procedures are supposed to have a higher risk of chylous complications, as CO2 pressure appears to make the operator overlook suppressing the lymphatic leakage from the resected lymphatic channels.
authors.affiliation: Kobe City General Hospital, Urology, Kobe, Hyogo, Japan. hiro915@basil.ocn.ne.jp
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Negoro
authors.forename: Hiroya
authors.initials: H
authors.lastname: Oka
authors.forename: Mutsushi
authors.initials: M
authors.lastname: Kawakita
mesh_terms: D000368:Aged; D002915:Chylous Ascites / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D010288:Parenteral Nutrition; D011183:Postoperative Complications; D012187:Retroperitoneal Space; D015911:Sclerotherapy; D014057:Tomography, X-Ray Computed