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Related Experiment Videos

Chylous ascites after laparoscopic donor nephrectomy.

Ashish Sharma1, Munish Heer, S V Subramanaym Malladi

  • 1Department of Transplant Surgery, PGIMER, Chandigarh. ashish_chd@hotmail.com

Journal of Endourology
|September 30, 2005
PubMed
Summary

Laparoscopic living-donor nephrectomy is safe, but chylous ascites can occur. Careful dissection and clipping of lymphatics near the renal hilum may prevent this rare complication in kidney donors.

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Area of Science:

  • Nephrology
  • Minimally Invasive Surgery
  • Transplant Surgery

Background:

  • Laparoscopic living-donor nephrectomy offers a minimally invasive approach to kidney donation.
  • It aims to reduce donor morbidity compared to open procedures.
  • The safety profile is generally comparable to open donor nephrectomy.

Observation:

  • A rare case of chylous ascites following laparoscopic living-donor nephrectomy is reported.
  • This complication occurred despite an otherwise uneventful surgical procedure.
  • Literature search identified only two similar reported cases.

Findings:

  • Chylous ascites, a buildup of lymphatic fluid, can be a serious complication after laparoscopic donor nephrectomy.
  • This condition has the potential to cause significant donor morbidity.

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  • The incidence appears to be very low, but potentially underreported.

    • Implications:

    • Preventing chylous ascites is crucial to maintaining the advantages of minimally invasive kidney donation.
    • Meticulous dissection of the renal hilum is recommended.
    • Clipping lymphatic tissue near the renal vessels may prevent this complication.