A novel therapeutic strategy for chylous ascites after gynecological cancer surgery: A continuous low-pressure drainage system

Yusuke Shibuya, Koh Asano, Atsushi Hayasaka, Takashi Shima, Kozo Akagi, Nobuyoshi Ozawa, Yuichi Wada

研究成果: Article査読

11 被引用数 (Scopus)

抄録

Purpose: Postoperative chylous ascites is an unusual complication following retroperitoneal surgery. A search of the English literature showed only 44 cases of chylous ascites following gynecological cancer surgery. The treatment is primarily conservative, but surgical treatment is considered in resistant cases. We developed a novel non-surgical therapeutic strategy for postoperative chylous ascites. Methods: We report a case of severe chylous ascites following pelvic lymph node dissection for gynecological cancer. Results: Total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal washing, and systematic pelvic lymph node dissection were performed for a stage II G1 endometrioid adenocarcinoma (FIGO 2009). Forty-one days after surgery, the patient was readmitted due to massive ascites. Repeated paracentesis and a low-fat diet were only partially effective. Fifty-one days after surgery, we started paracentesis with a continuous low-pressure drainage system. Nine days later, there was no further fluid drainage. The patient was asymptomatic and without recurrent disease at follow-up 3 months later. Conclusions: Pelvic lymph node dissection may cause postoperative chylous ascites. Paracentesis with a continuous low-pressure drainage system can be an effective conservative treatment for postoperative chylous ascites.

本文言語English
ページ(範囲)1005-1008
ページ数4
ジャーナルArchives of Gynecology and Obstetrics
287
5
DOI
出版ステータスPublished - 2013 5
外部発表はい

ASJC Scopus subject areas

  • 産婦人科学

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