Chylous ascites after lymphadenectomy for gynecological malignancies

Thiel FC, Parvanta P, Hein A, Mehlhorn G, Lux MP, Renner S, Preisner A, Beckmann M, Schrauder MG (2016)

Publication Type: Journal article

Publication year: 2016

Journal

Journal of Surgical Oncology Wiley-Blackwell

Book Volume: 114

Pages Range: 613-618

Journal Issue: 5

DOI: 10.1002/jso.24354

Abstract

BACKGROUND AND OBJECTIVES: Chylous ascites, an accumulation of milky-white lymph fluid in the peritoneal cavity, is a rare complication following retroperitoneal lymphadenectomy. This study evaluated the appearance and management of chylous ascites following lymphadenectomy for gynecological malignancies. METHODS: A total of 931 patients who underwent lymphadenectomy for gynecological malignancies at Erlangen University Hospital between 2002 and 2013 were reviewed retrospectively. RESULTS: Chylous ascites occurred postoperatively in 28 of the 931 patients (3.0%). All patients with chylous ascites had undergone combined systematic para-aortic and pelvic lymphadenectomy (SAPL). Patients with chylous ascites had a larger mean number of lymph nodes removed (51.9 vs. 40.0, P = 0.002) and the proportion of laparoscopic SAPLs was significantly higher (20/28; 71.4%) in comparison with open surgery (8/28; 28.6%) (P < 0.0001). Additional parameters, such as the number of positive lymph nodes, were not significantly associated with the occurrence of chylous ascites. Conservative management was sufficient to resolve chylous ascites in all observed cases, with a mean time to resolution of 8 days. CONCLUSIONS: Postoperative chylous ascites was more frequently observed in patients with laparoscopic SAPL in comparison with open SAPL and was strongly associated with a larger mean number of removed lymph nodes. J. Surg. Oncol. 2016;114:613-618. © 2016 Wiley Periodicals, Inc.

Authors with CRIS profile

Alexander Hein Department of Obstetrics and Gynaecology Stefan Renner Department of Obstetrics and Gynaecology Matthias Beckmann Lehrstuhl für Geburtshilfe und Frauenheilkunde

Involved external institutions

Alb Fils Kliniken DE Germany (DE) Johannes Gutenberg-Universität Mainz (JGU) DE Germany (DE)

How to cite

APA:

Thiel, F.C., Parvanta, P., Hein, A., Mehlhorn, G., Lux, M.P., Renner, S.,... Schrauder, M.G. (2016). Chylous ascites after lymphadenectomy for gynecological malignancies. Journal of Surgical Oncology, 114(5), 613-618. https://doi.org/10.1002/jso.24354

MLA:

Thiel, Falk C., et al. "Chylous ascites after lymphadenectomy for gynecological malignancies." Journal of Surgical Oncology 114.5 (2016): 613-618.

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