title: Surgical management of intractable chyluria: a comparison of retroperitoneoscopy with open surgery.
abstract: BACKGROUND
  Retroperitoneoscopic renal pedicle lymphatic disconnection has been described in the management of intractable chyluria.
  
  
  METHODS
  We retrospectively reviewed the clinical outcomes of 76 patients with intractable chyluria undergoing renal pedicle lymphatic disconnection via a retroperitoneoscopic (n = 59) or conventional open approach (n = 17). Operative time, intraoperative blood loss, volume of postoperative drainage, postoperative draining time, postoperative intestinal recovery, intraoperative and postoperative complications, and postoperative hospital stay were evaluated.
  
  
  RESULTS
  Compared with open surgery, retroperitoneoscopy was superior in terms of operative time, intraoperative blood loss, postoperative drainage, postoperative draining time, postoperative intestinal recovery time, and postoperative hospital stay. Recurrence developed in 2 patients due to the contralateral chylous efflux confirmed by cystoscopy during the period of 9-85 months of follow-up.
  
  
  CONCLUSIONS
  With minimal invasion, sparing operative time, less blood loss, and rapid recovery, retroperitoneoscopic renal pedicle lymphatic disconnection can achieve at least the same clinical efficacy as open surgery.
authors.affiliation: Department of Urology, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Yao
authors.initials: Y
authors.lastname: Zhang
authors.forename: Jiayuan
authors.initials: J
authors.lastname: Zeng
authors.forename: Keqin
authors.initials: K
authors.lastname: Zhang
authors.forename: Fengshuo
authors.initials: F
authors.lastname: Jin
authors.forename: Jin
authors.initials: J
authors.lastname: Ye
authors.forename: Gang
authors.initials: G
authors.lastname: Wu
authors.forename: Gang
authors.initials: G
authors.lastname: Wang
authors.forename: Zhilin
authors.initials: Z
authors.lastname: Nie
mesh_terms: D000328:Adult; D002913:Chyle / Q000378:metabolism*; D003558:Cystoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007674:Kidney Diseases / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D042601:Lymphatic Vessels / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D012187:Retroperitoneal Space / Q000473:pathology*; D012189:Retrospective Studies; D013997:Time Factors; D014556:Urine; D013520:Urologic Surgical Procedures