Two cases of chyloretroperitoneum following retroperitoneoscopic nephroureterectomy

Int J Urol. 2006 Apr;13(4):487-9. doi: 10.1111/j.1442-2042.2006.01427.x.

Abstract

Post-operative chyloretroperitoneum is a rare complication in urological surgery. We experienced two cases of post-operative chyloretroperitoneum following retroperitoneoscopic left nephroureterectomy. Both cases were treated successfully with drainage, low fat diet, total parenteral nutrition (case 1 only), sclerotherapy and somatostatin analog. Laparoscopic procedures are supposed to have a higher risk of chylous complications, as CO2 pressure appears to make the operator overlook suppressing the lymphatic leakage from the resected lymphatic channels.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chylous Ascites / diagnosis
  • Chylous Ascites / etiology*
  • Chylous Ascites / therapy
  • Drainage
  • Follow-Up Studies
  • Humans
  • Kidney Neoplasms / surgery
  • Laparoscopy*
  • Male
  • Nephrectomy / adverse effects*
  • Nephrectomy / methods
  • Parenteral Nutrition
  • Postoperative Complications
  • Retroperitoneal Space*
  • Sclerotherapy
  • Tomography, X-Ray Computed