Successful laparoscopic management of chylous ascites following laparoscopic radical nephrectomy.
A 44-year-old woman developed chylous ascites following laparoscopic transperitoneal left radical nephrectomy with para-aortic lymph node dissection. Because conservative managements failed to stop the lymphatic leakage, laparoscopic lymphostasis was performed. Drinking milk 6 h prior to the operation enabled visualization of chylous ascites. Although a definite fistula was hard to identify, most of the chylous leak disappeared after ligation of the para-aortic tissues at the distal and proximal ends of the previous lymph node dissection. Laparoscopic ligation of the para-aortic bundle of lymph ducts was effective in managing long-standing postoperative chylous ascites.
Nishizawa
Koji
K
Kyoto University Hospital, Department of Urology, Kyoto, Japan. nishizaw@kuhp.kyoto-u.ac.jp
Ito
Noriyuki
N
Yamamoto
Shingo
S
Kamoto
Toshiyuki
T
Ogawa
Osamu
O
D000328:Adult; D002915:Chylous Ascites / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009392:Nephrectomy