Abstract
Chylous ascites is a rare form of ascites that results from accumulated lymph fluid in the peritoneal cavity caused by blocked or disrupted lymph flow through the major lymphatic channels. In the present study, our aim was to analyze the incidence, risk factors, diagnostic evaluation and management of chylous ascites after lymphadenectomy in gynecologic malignancies. A total of 458 patients who had undergone staging surgery for gynecologic malignancies at our institution between January 2010 and December 2013 were retrospectively reviewed. After the exclusion criteria were applied, 399 patients were divided into 2 groups based on the presence (n = 36) or absence (n = 363) of chylous ascites. Among the 399 patients, 36 (9%) developed chylous ascites. The median time to onset was 4 days (range, 2-7 days). The analysis of the various features of lymphadenectomy showed that the number of para-aortic lymph nodes (PALNs) removed was significantly greater in the patients with chylous ascites (p < 0.001). A cut-off value of >14 PALNs was a good predictor of chylous ascites. In all patients, chylous ascites resolved with conservative management. Postoperative chylous ascites was strongly associated with the number of harvested PALNs. Ac...Continue Reading
References
Mar 1, 1995·The Journal of Urology·J BanielJ P Donohue
Mar 15, 1994·Spine·M M DeHartJ E Cain
Nov 1, 2000·Surgery·O O AalamiC H Organ
Apr 6, 2001·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R KaasF A Zoetmulder
Jan 17, 2002·The Journal of Urology·Ilan LeibovitchJacob Ramon
Mar 7, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·S TakeuchiS Minami
May 10, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C WilliamsP Gauthier
Jun 13, 2006·Journal of Vascular Surgery·Corradino CampisiFrancesco Boccardo
Sep 6, 2006·The Journal of Urology·James G EvansLouis L Pisters
Mar 15, 2011·Journal of the American College of Surgeons·Daniel C SteinemannAntonio Nocito
Aug 13, 2011·Archives of Gynecology and Obstetrics·Turgut VarLeyla Mollamahmutoğlu
Nov 22, 2011·Gynecologic Oncology·M K FreyB M Slomovitz
Dec 8, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Duo HanGuihao Ke
Jun 26, 2012·Gynecologic Oncology·Gokhan TulunayMehmet Faruk Kose
Dec 12, 2012·Archives of Gynecology and Obstetrics·Yusuke ShibuyaYuichi Wada
Aug 1, 2013·Journal of Minimally Invasive Gynecology·Yuqing ZhaoQi Zhou
Apr 10, 2014·Case Reports in Obstetrics and Gynecology·Ahmet GöçmenMustafa Gazi Uçar
Citations
Oct 22, 2016·Journal of Surgical Oncology·Falk C ThielMichael G Schrauder
Oct 26, 2016·Obstetrics and Gynecology·Heather MillerKarin A Fox
Aug 2, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Kemal GüngördükMuzaffer Sanci
Sep 13, 2018·Journal of Surgical Oncology·Guan-Nan ZhouJing-Xin Ding
Mar 31, 2017·Abdominal Radiology·A MignotV Laurent
Sep 25, 2019·Medicina·Stoyan KostovDeyan Dzhenkov
Jul 14, 2020·SAGE Open Medicine·Jie ZhengZhi-Yong Rao
Jan 23, 2021·Lymphatic Research and Biology·Amgad M MoussaAdrian J Gonzalez-Aguirre
Sep 1, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Yu LinPan Chi