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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Ascites01:19

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DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
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Related Experiment Video

Updated: Apr 21, 2026

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Chylous ascites after laparoscopic donor nephrectomy.

Ho Yee Tiong1, Raj K Goel, Wesley M White

  • 1The Transplant Center, Glickman Kidney and Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Asian Journal of Endoscopic Surgery
|November 12, 2014
PubMed
Summary

Chylous ascites is a rare complication after laparoscopic donor nephrectomy, occurring in 0.013% of cases. Conservative management is often successful, with surgery reserved for refractory cases.

Keywords:
Complicationsdonor nephrectomylaparoscopy

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Surgical Complications

Background:

  • Chylous ascites is a potential complication following kidney donation surgery.
  • Understanding its incidence and management after laparoscopic donor nephrectomy is crucial.

Purpose of the Study:

  • To determine the incidence, presentation, management, and outcomes of chylous ascites after laparoscopic donor nephrectomy.
  • To evaluate the effectiveness of conservative versus surgical interventions.

Main Methods:

  • A multi-institutional online survey was distributed to transplant centers.
  • Data on live donor nephrectomies and cases of chylous ascites were collected.
  • The survey targeted transplant surgeons via email and specialized forums.

Main Results:

  • The incidence of chylous ascites post-laparoscopic donor nephrectomy was 0.013% (10 cases out of 7683 procedures).
  • Conservative therapy achieved success in 50% of patients.
  • Surgical intervention for refractory cases demonstrated a 100% success rate.

Conclusions:

  • Chylous ascites is an infrequent complication of laparoscopic donor nephrectomy.
  • Initial management should prioritize conservative measures.
  • Surgical intervention is effective for refractory cases.