Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney.
10.3969/j.issn.1672-7347.2012.04.015
- Author:
Yueming WAN
1
;
Zhengyan TANG
;
Zhiyong CHEN
;
Wen TIAN
;
Lun XIAO
;
Kuan LUO
;
Dongjie LI
Author Information
1. Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Chylous Ascites;
etiology;
prevention & control;
therapy;
Female;
Humans;
Kidney;
abnormalities;
surgery;
Laparoscopy;
adverse effects;
methods;
Male;
Middle Aged;
Nephrectomy;
adverse effects;
methods;
Retroperitoneal Space
- From:
Journal of Central South University(Medical Sciences)
2012;37(4):405-407
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To discuss management of chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney.
METHODS:Between November 2004 and Februar y 2011, 39 patients underwent retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, of these 5 patients had chylous leakage. The ages of the patients ranged from 32 to 60 years (mean 42). All the patients were treated conservatively, and the therapeutic effects were observed.
RESULTS:Delayed chylous leakage in 5 patients occurred 5-31 days after surgery, and leakage occurred in 4 of the same 5 patients during the first 2 post-operative years. Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney preferentially occurred at the left side of duplex kidney. All the patients healed under conservative treatment.
CONCLUSION:Chylous leakage typically occurs after left retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, and can be prevented by improving surgical technique; it can be completely relieved by conservative management with satisfactory results.
