title: Chylous ascites following robotic lymph node dissection on a patient with metastatic cervical carcinoma.
abstract: Chylous ascites is an uncommon postoperative complication of gynecological surgery. We report a case of chylous ascites following a robotic lymph node dissection for a cervical carcinoma. A 38-year-old woman with IB2 cervical adenocarcinoma with a palpable 3 cm left external iliac lymph node was taken to the operating room for robotic-assisted laparoscopic pelvic and para-aortic lymph node dissection. Patient was discharged on postoperative day 2 after an apparent uncomplicated procedure. The patient was readmitted the hospital on postoperative day 9 with abdominal distention and a CT-scan revealed free fluid in the abdomen and pelvis. A paracentesis demonstrated milky-fluid with an elevated concentration of triglycerides, confirming the diagnosis of chylous ascites. She recovered well with conservative measures. The risk of postoperative chylous ascites following lymph node dissection is still present despite the utilization of new technologies such as the da Vinci robot.
authors: Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, New York, NY, USA.
authors: Enrique
authors: E
authors: Soto
authors: Carlos
authors: C
authors: Soto
authors: Farr R
authors: FR
authors: Nezhat
authors: Herbert F
authors: HF
authors: Gretz
authors: Linus
authors: L
authors: Chuang
references: Transplantation. 1996 May 15;61(9):1410-1
references: 8629307
references: Am J Gastroenterol. 2002 Aug;97(8):1896-900
references: 12190151
references: Am Surg. 1981 Sep;47(9):384-6
references: 7283275
references: Eur J Surg Oncol. 2001 Mar;27(2):187-9
references: 11289756
references: Arch Surg. 1990 Feb;125(2):270-3
references: 2405815
references: Chest. 2000 Mar;117(3):902-5
references: 10713026
references: Am J Dig Dis. 1969 Jul;14(7):500-9
references: 4306924
references: J Pediatr Gastroenterol Nutr. 2008 Apr;46(4):478-81
references: 18367970
references: Ann Thorac Surg. 2009 May;87(5):1601-3
references: 19379920
references: J Urol. 2003 Nov;170(5):1938
references: 14532813
references: J Endourol. 2006 Jun;20(6):394-6
references: 16808649
references: Eur Surg Res. 2008;41(1):54-7
references: 18460870
references: J Am Assoc Gynecol Laparosc. 2003 Feb;10(1):123-6
references: 12555007
references: Surgery. 2000 Nov;128(5):761-78
references: 11056439
references: Nutrition. 2008 Nov-Dec;24(11-12):1220-3
references: 18639440