Management Protocol for Chylous Ascites After Laparoscopic Nephrectomy - 10/09/15
, Abhishek Singh, Arvind Ganpule, Shashikant Mishra, Ravindra Sabnis, Mahesh DesaiAbstract |
Objective |
To devise a management protocol for chylous ascites after laparoscopic nephrectomy.
Patients and Methods |
We retrospectively reviewed the data of the patients that underwent laparoscopic nephrectomy between January 2010 and January 2014 in our institution for different indications and were diagnosed with chylous ascites. We also analyzed a different management protocol that was used.
Results |
The overall incident rate of chylous ascites was 0.77%. It was more commonly seen on left side and with simple nephrectomy rather than radical. Three out of 9 patients were managed by surgical intervention, rest were successfully managed on conservative treatment in the form of dietary modification, total parenteral nutrition, or octreotide.
Conclusion |
Chylous ascites is a rare but morbid condition following laparoscopic nephrectomy. To manage this complication, we propose preventive and treatment strategies based on symptoms and amount of chylous ascites using our experience and review of the literature.
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 86 - N° 3
P. 521-528 - septembre 2015 Retour au numéro
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