Case report: laparoscopic management of massive chylous ascites after salvage laparoscopic retroperitoneal lymph-node dissection.
Chylous ascites is an infrequent complication of retroperitoneal surgery. We describe a patient who suffered massive chylous ascites after simultaneous pneumonectomy and laparoscopic excision of a post-chemotherapy tumor mass. After conservative management failed, exploratory laparoscopy identified the site of the leak, which was clipped and closed with fibrin glue. There has been no recurrence in the ensuing 5 years.
Castillo
Octavio A
OA
Section of Endourology and Laparoscopic Urology, Clinica Santa Maria, Santiago, Chile. octaviocastillo@vtr.net
Litvak
Juan P
JP
Kerkebe
Marcelo
M
Olivares
Ruben
R
Urena
Ruben
R
D000293:Adolescent; D018236:Carcinoma, Embryonal / Q000601:surgery; D002822:Choriocarcinoma / Q000601:surgery; D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D009919:Orchiectomy; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D012187:Retroperitoneal Space / Q000601:surgery; D016879:Salvage Therapy / Q000379:methods; D013724:Teratoma / Q000601:surgery; D013736:Testicular Neoplasms / Q000601:surgery