Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, New York, NY, USA.
J Gynecol Oncol. 2011 Mar 31;22(1):61-3. doi: 10.3802/jgo.2011.22.1.61.
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 following lymph node dissection is still present despite the utilization of new technologies such as the da Vinci robot.
乳糜性腹水是妇科手术后一种罕见的并发症。我们报告了一例宫颈癌行机器人淋巴结清扫术后乳糜性腹水的病例。一位 38 岁的 IB2 期宫颈腺癌患者，左侧外髂淋巴结可触及，大小为 3cm，行机器人辅助腹腔镜盆腔和腹主动脉旁淋巴结清扫术。术后第 2 天，患者无明显并发症出院。术后第 9 天，患者因腹胀再次入院，CT 扫描显示腹部和骨盆有游离液体。经皮穿刺术显示乳白色液体，甘油三酯浓度升高，确诊为乳糜性腹水。经保守治疗后患者恢复良好。尽管达芬奇机器人等新技术的应用，淋巴结清扫术后发生乳糜性腹水的风险仍然存在。
