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[Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney]
Yueming Wan1, Zhengyan Tang, Zhiyong Chen
1Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
Objective:
To discuss management of chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney.
Methods:
Between November 2004 and Februar y 2011, 39 patients underwent retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, of these 5 patients had chylous leakage. The ages of the patients ranged from 32 to 60 years (mean 42). All the patients were treated conservatively, and the therapeutic effects were observed.
Results:
Delayed chylous leakage in 5 patients occurred 5-31 days after surgery, and leakage occurred in 4 of the same 5 patients during the first 2 post-operative years. Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney preferentially occurred at the left side of duplex kidney. All the patients healed under conservative treatment.
Conclusion:
Chylous leakage typically occurs after left retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, and can be prevented by improving surgical technique; it can be completely relieved by conservative management with satisfactory results.
