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Chylous ascites after laparoscopic lymph node dissection in gynecologic malignancies
Yuqing Zhao1, Weiguo Hu1, Xiaofan Hou1
1Department of Gynecology, Gynecologic and Obstetric Hospital, Fudan University, Shanghai, China.
Journal of Minimally Invasive Gynecology
|August 1, 2013
Summary
Chylous ascites occurred in 0.9% of patients after laparoscopic lymphadenectomy for gynecologic cancer. Para-aortic lymphadenectomy increased risk, but conservative treatment, including drainage, was effective.
Area of Science:
- Gynecologic Oncology
- Surgical Complications
- Laparoscopic Surgery
Background:
- Laparoscopic lymphadenectomy is used for gynecologic malignancies.
- Chylous ascites is a potential postoperative complication.
Purpose of the Study:
- To evaluate chylous ascites after laparoscopic lymphadenectomy in gynecologic cancer patients.
- To identify risk factors and assess treatment outcomes.
Main Methods:
- Retrospective study of 997 patients undergoing laparoscopic lymphadenectomy.
- Analysis of postoperative outcomes, focusing on chylous ascites incidence and management.
Main Results:
- 0.9% of patients developed chylous ascites.
- Para-aortic lymphadenectomy was associated with a higher incidence (4.08%) compared to pelvic lymphadenectomy (0.35%).
- Conservative management, including drainage, led to resolution in all cases within a median of 7 days.
Conclusions:
- The incidence of chylous ascites is low but associated with para-aortic lymphadenectomy.
- Conservative treatment, particularly abdominal drainage, is effective for managing postoperative chylous ascites.
- Abdominal drainage should be considered for treating chylous ascites.
