Sharma Ashish, Heer Munish, Subramanaym Malladi S V, Minz Mukut
Department of Transplant Surgery, PGIMER, Chandigarh.
J Endourol. 2005 Sep;19(7):839-40. doi: 10.1089/end.2005.19.839.
Laparoscopic living-donor nephrectomy has decreased the disincentives to live renal donation with a risk of complications similar to that of open donor nephrectomy. We report a patient who developed chylous ascites after an otherwise-uneventful laparoscopic donor nephrectomy. On MEDLINE search, we could find only two other cases with similar complications. This condition has the potential to cause significant morbidity in the donor, which may reduce the advantages of the minimally invasive approach. We suggest that meticulous dissection of the renal hilum and clipping of lymphatic tissue around the renal vessels could prevent this untoward complication.
腹腔镜活体供肾肾切除术降低了活体肾捐赠的阻碍因素，其并发症风险与开放性供肾肾切除术相似。我们报告了一名患者，在经历了一次原本顺利的腹腔镜供肾肾切除术后出现了乳糜性腹水。通过检索医学文献数据库（MEDLINE），我们仅能找到另外两例类似并发症的病例。这种情况有可能给供体带来严重的发病风险，这可能会削弱微创方法的优势。我们建议，在肾门处进行细致的解剖，并对肾血管周围的淋巴组织进行结扎，可预防这种不良并发症的发生。
