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KMID : 1201620100030020075
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Journal of Women s Medicine
2010 Volume.3 No. 2 p.75 ~ p.80
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Massive chylous ascites following robotic-assisted surgical staging in patient with endometrial carcinoma
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Choi Young-Mi
Park Hyeon-Jong
Lee Ji-Yun
Yim Ga-Won
Lee Maria
Lee San-Hee
Paek Ji-Heum
Nam Eun-Ji
Kim Sang-Wun
Kim Young-Tae
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Abstract
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Chylous ascites is an infrequent postoperative complication of retroperitoneal surgery caused by unrecognized disruption of major retroperitoneal lymphatics and is associated with serious mechanical, nutritional, and immunologic consequences due to the constant loss of protein and lymphocytes. Recently, the robotic?assisted approach to surgical staging for gynecologic malignancy is increased, which allows for enabling the performance of complex procedures. As our experience, in patients with robotic?assisted lymphadenectomy for endometrial cancer, chylous ascites can be also developed despite the meticulous dissection. In our opinion, it is recommended to remove large amount of ascites through paracentesis as much as possible at a time and we should be observed at least 8 weeks before surgical intervention while maintaining nutritional supports.
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KEYWORD
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Chylous ascites, Robotic-assisted surgical staging, Endometrial cancer
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