Thanh bên bài viết

PDF (English)
Đã xuất bản: 2023-12-31
Số lượt xem tóm tắt: 49
Số lượt xem PDF (English): 49
DOI: https://doi.org/10.52852/tcncyh.v173i12E13.1802
Số xuất bản
Tập 173 Số 12E13 (2023)
Chuyên mục
Các bài báo
Cách trích dẫn
Uyen, N. D., Hoang, N. H., Thanh, D. T., & Hung, L. V. (2023). 29. Conservative management of chylous fistula following laparoscopic partial nephrectomy for renal cell carcinoma: A case report and literature review. Tạp Chí Nghiên cứu Y học, 173(12E13), 257-261. https://doi.org/10.52852/tcncyh.v173i12E13.1802

29. Conservative management of chylous fistula following laparoscopic partial nephrectomy for renal cell carcinoma: A case report and literature review

Nguyen Dao Uyen, Nguyen Huy Hoang, Do Truong Thanh, Le Van Hung

Nội dung chính của bài viết

Tóm tắt

Chylous fistula is a rare complication following renal surgery, especially partial nephrectomy due to renal cell cancer. A unified treatment guideline for this complication is currently unavailable. We report a clinical case of chylous fistula after laparoscopic partial nephrectomy due to renal cell cancer, seen on the 4th postoperative day (POD), which was successfully treated conservatively by octreotide and diet adjustments. We take this opportunity to review similar cases mentioned in the literature in order to contribute to the knowledge of symptoms, management and treatment of this complication.

Chi tiết bài viết

Từ khóa

Chylous fistula, chylous leak, complications, laproscopic partial nephrectomy.

Tài liệu tham khảo

1. Singh H, Pandit N, Krishnamurthy G, Gupta R, Verma GR, Singh R. Management of chylous ascites following pancreaticobiliary surgery. JGH Open. 2019; 3(5): 425-428. doi:10.1002/JGH3.12179
2. Kim BS, Yoo ES, Kim TH, Kwon TG. Chylous Ascites as a Complication of Laparoscopic Nephrectomy. J Urol. 2010; 184(2): 570-574. doi:10.1016/J.JURO.2010.03.128.
3. Jairath A, Singh A, Ganpule A, Mishra S, Sabnis R, Desai M. Management Protocol for Chylous Ascites After Laparoscopic Nephrectomy. Urology. 2015; 86(3): 521-528. doi:10.1016/J.UROLOGY.2015.06.001.
4. Tiong HY ee, Goel RK, White WM, Goldfarb DA, Kaouk JH. Chylous ascites after laparoscopic donor nephrectomy. Asian J Endosc Surg. 2015; 8(1): 34-39. doi:10.1111/ASES.12144.
5. Kim BS, Kwon TG. Chylous ascites in laparoscopic renal surgery: Where do we stand? World J Clin Urol. 2016; 5(1): 37-44. doi:10.5410/WJCU.V5.I1.37.
6. Lv S, Wang Q, Zhao W, et al. A review of the postoperative lymphatic leakage. Oncotarget. 2017; 8(40): 69062. doi:10.18632/ONCOTARGET.17297.
7. Ferrandière M, Hazouard E, Guicheteau V, et al. Chylous ascites following radical nephrectomy: efficiency of octreotide as treatment of a ruptured thoracic duct. Intensive Care Med. 2000; 26(4): 484-485. doi:10.1007/S001340051190.
8. Harper JD, Breda A, Leppert JT, Veale JL, Gritsch HA, Schulam PG. Experience With 750 Consecutive Laparoscopic Donor Nephrectomies—Is it Time to Use a Standardized Classification of Complications? J Urol. 2010; 183(5): 1941-1946. doi:10.1016/J.JURO.2010.01.021.
9. LEIBOVITCH I, MOR Y, GOLOMB J, RAMON J. The diagnosis and management of postoperative chylous ascites. J Urol. 2002; 167(2 Pt 1): 449-457. doi:10.1016/S0022-5347(01)69064-5.
10. Leibovitch I, Mor Y, Golomb J, Ramon J. Chylous ascites after radical nephrectomy and inferior vena cava thrombectomy. Successful conservative management with somatostatin analogue. Eur Urol. 2002; 41(2): 220-222. doi:10.1016/S0302-2838(01)00034-3.