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. 2001 Mar;27(2):187-9.
doi: 10.1053/ejso.2000.1088.

Chylous ascites after oncological abdominal surgery: incidence and treatment

R Kaas  1 , L D Rustman, F A Zoetmulder
Affiliations

Chylous ascites after oncological abdominal surgery: incidence and treatment

R Kaas et al. Eur J Surg Oncol. 2001 Mar.

Abstract

Aims: Chylous ascites can be a problem after oncological abdominal surgery. The aim of this study was to report the incidence and the management of the problem.

Methods: A retrospective study over a 2-year period of all oncological patients undergoing abdominal surgical procedures was carried out. Patients with resections in the upper abdomen and retroperitoneum were studied in more detail.

Results: Twelve (7.4%) of 163 patients with complex surgical procedures developed a chyloperitoneum. Chylous ascites stopped in time with conservative management in nine patients. Three patients had a peritoneovenous shunt inserted with success. No relaparotomies to ligate leaking intestinal lymph vessels were necessary.

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