Laparoscopic stripping of renal lymphatic vessels for the treatment of chyluria
- VernacularTitle:腹腔镜下肾蒂淋巴管剥脱术治疗乳糜尿
- Author:
Qingjun MENG
;
Weixing ZHANG
;
Xuepei ZHANG
;
Baoping QIAO
;
Peiyuan XU
;
Rui WANG
- Publication Type:Journal Article
- Keywords:
Chyluria;
Stripping of renal lymphatic vessel;
Laparoscopes
- From:
Chinese Journal of Urology
2008;29(10):701-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of renal lymphatic stripping with laparo scope.Methods Twenty cases of chyluria (12 men and 8 women; mean age,52 years) were treatedwith laparoscopic renal lymphatic stripping.The diagnosis of chyluria was setup by chylous tests andcystoscopy.The ultrasonic harmonic scalpel was used during the dissociation and ligation.ResultsThe average operation time was 100 min.The average blood loss was 50 ml and the average hospitalstay after operation was 6 d.No surgical complications occurred.The urine was clear and the chyloustests were negative in 19 patients when the patents discharged Irom the hospital.No recurrence ofchyluria was found during the follow up of 6-24 months.One patient with bilateral chyluria occation ally showed chyluria during follow up.Conclusion Laparoscopic stripping of renal lymphatic vesselsfor the treatment of chyluria could be an efficient method with the advantages of simple operating,mini invasion and rapid recovery.
