Kaas R, Rustman L D, Zoetmulder F A
Department of Surgery, Netherlands Cancer Institute/Ant. van Leeuwenhoek Ziekenhuis, Amsterdam, The Netherlands.
Eur J Surg Oncol. 2001 Mar;27(2):187-9. doi: 10.1053/ejso.2000.1088.
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.
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.
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.
乳糜性腹水可能是肿瘤腹部手术后出现的一个问题。本研究的目的是报告该问题的发生率及处理方法。
对所有接受腹部手术的肿瘤患者进行了为期2年的回顾性研究。对上腹部和腹膜后进行切除术的患者进行了更详细的研究。
163例接受复杂手术的患者中有12例（7.4%）发生了乳糜腹。9例患者通过保守治疗乳糜性腹水及时停止。3例患者成功插入了腹膜静脉分流管。无需再次剖腹结扎渗漏的肠淋巴管。
