Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery.
Chylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous ascites following robot-assisted surgery for endometrial staging and the treatment strategies that we used. After retroperitoneal lymph node dissection, leaving a drain is very useful in diagnosing chylous ascites and observing its resolution; furthermore, the use of octreotide in conjunction with TPN appears to be an efficient treatment modality for chylous ascites and should be considered before any invasive intervention.
Obstetrics and Gynecology Department, Umraniye Education and Research Hospital, 34766 İstanbul, Turkey.
Ahmet
A
Göçmen
Departments of Aegean Obstetrics and Gynecology, Training and Research Hospital, 35170 Izmir, Turkey.
Muhittin Eftal
ME
Avcı
Obstetrics and Gynecology Department, Umraniye Education and Research Hospital, 34766 İstanbul, Turkey.
Fatih
F
Sanlıkan
Departments of Obstetrics and Gynecology, Konya Education and Research Hospital, 423030 Konya, Turkey.
Mustafa Gazi
MG
Uçar