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Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
Daniel Roberson1, Raju Chelluri1, Alan J Wein1
1Division of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA.
Urology Case Reports
|April 30, 2020
Summary
Chylous ascites (CA) is a rare complication after robotic assisted laparoscopic partial nephrectomy. This case highlights successful non-surgical management, offering insights for similar renal surgery cases.
Area of Science:
- Urology
- Surgical Complications
- Gastroenterology
Background:
- Chylous ascites (CA) is a recognized complication following retroperitoneal surgery.
- The incidence of CA after kidney surgery, particularly left-sided procedures and those involving lymph node dissection, is noted in existing literature.
- Robotic assisted laparoscopic (RAL) partial nephrectomy is a common procedure for renal masses.
Observation:
- A 65-year-old male developed CA after undergoing a right RAL partial nephrectomy.
- The patient presented with symptoms consistent with chylous ascites post-operatively.
Findings:
- The patient was successfully treated conservatively with a low-fat diet and surgical drain management.
- This represents the first reported instance of CA specifically following a right-sided RAL partial nephrectomy.
Implications:
- The findings suggest that CA after right RAL partial nephrectomy, while uncommon, is manageable non-surgically.
- This case expands the understanding of CA occurrence and management in the context of minimally invasive renal surgery.
- Further research may clarify risk factors and optimal management strategies for CA in this surgical context.
