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Related Experiment Video

Updated: Jun 19, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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Published on: November 22, 2019

[Chylorrhea after left nephroureterectomy].

Kimito Osaka¹, Masataka Kobayashi, Atsushi Fujikawa

¹Department of Urology, Yokohama City Minato Red Cross Hospital.

Hinyokika Kiyo. Acta Urologica Japonica

|October 16, 2009

Summary

A rare complication, chylorrhea, following kidney surgery was successfully treated. Octreotide, a somatostatin analog, effectively managed the condition with no adverse effects, offering a therapeutic option.

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Area of Science:

Urology
Surgical Complications
Gastroenterology

Background:

Postoperative chylorrhea is a rare but serious complication after nephroureterectomy.
It can lead to significant nutritional and immunological disturbances due to protein and lymphocyte loss.
Previous ureteral stone surgery may be a predisposing factor.

Observation:

A 74-year-old male patient developed chylorrhea after transperitoneal left nephroureterectomy for renal pelvic malignancy.
The patient had a history of bilateral ureterolithotomy approximately 30 years prior.
The condition presented as a significant loss of chyle, impacting nutritional status.

Findings:

The patient was successfully treated with peripheral parenteral nutrition and subcutaneous Octreotide.
Octreotide, a long-acting somatostatin analog, demonstrated efficacy in resolving chylorrhea.
No adverse effects were noted during the treatment period.

Implications:

Early and adequate treatment of chylorrhea is crucial to prevent severe complications.
Octreotide represents a safe and effective therapeutic choice for managing postoperative chylorrhea.
This case highlights the successful management of a rare surgical complication, informing clinical practice.