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KMID : 1137020110220010061
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Journal of Gynecologic Oncology
2011 Volume.22 No. 1 p.61 ~ p.62
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Chylous ascites following robotic lymph node dissection on a patient with metastatic cervical carcinoma
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Soto Enrique
Soto Carlos
Nezhat Farr R.
Gretz Herbert F.
Chuang Linus
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Abstract
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Chylous ascites is an uncommon postoperative complication of gynecological surgery. We report a case of chylous ascites following a robotic lymph node dissection for a cervical carcinoma. A 38-year-old woman with IB2 cervical adenocarcinoma with a palpable 3 cm left external iliac lymph node was taken to the operating room for robotic-assisted laparoscopic pelvic and para-aortic lymph node dissection. Patient was discharged on postoperative day 2 after an apparent uncomplicated procedure. The patient was readmitted the hospital on postoperative day 9 with abdominal distention and a CT-scan revealed free fluid in the abdomen and pelvis. A paracentesis demonstrated milky-fluid with an elevated concentration of triglycerides, confirming the diagnosis of chylous ascites. She recovered well with conservative measures. The risk of postoperative chylous ascites follo-wing lymph node dissection is still present despite the utilization of new technologies such as the da Vinci robot.
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KEYWORD
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Chylous ascites, Robotic surgery, Cervical carcinoma
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