[重复肾后腹腔镜上极半肾切除术后乳糜漏]
[Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney].
作者信息
Wan Yueming, Tang Zhengyan, Chen Zhiyong, Tian Wen, Xiao Lun, Luo Kuan, Li Dongjie
机构信息
Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Apr;37(4):405-7. doi: 10.3969/j.issn.1672-7347.2012.04.015.
OBJECTIVE
To discuss management of chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney.
METHODS
Between November 2004 and Februar y 2011, 39 patients underwent retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, of these 5 patients had chylous leakage. The ages of the patients ranged from 32 to 60 years (mean 42). All the patients were treated conservatively, and the therapeutic effects were observed.
RESULTS
Delayed chylous leakage in 5 patients occurred 5-31 days after surgery, and leakage occurred in 4 of the same 5 patients during the first 2 post-operative years. Chylous leakage after retroperitoneoscopic upper-pole heminephrectomy for duplex kidney preferentially occurred at the left side of duplex kidney. All the patients healed under conservative treatment.
CONCLUSION
Chylous leakage typically occurs after left retroperitoneoscopic upper-pole heminephrectomy for duplex kidney, and can be prevented by improving surgical technique; it can be completely relieved by conservative management with satisfactory results.
目的
探讨重复肾后腹腔镜上半肾切除术术后乳糜漏的处理方法。
方法
2004年11月至2011年2月，39例患者接受了重复肾后腹腔镜上半肾切除术，其中5例发生乳糜漏。患者年龄32至60岁（平均42岁）。所有患者均接受保守治疗，并观察治疗效果。
结果
5例患者术后5至31天出现迟发性乳糜漏，其中4例在术后2年内出现乳糜漏。重复肾后腹腔镜上半肾切除术术后乳糜漏多发生于重复肾左侧。所有患者经保守治疗后痊愈。
结论
重复肾后腹腔镜上半肾切除术术后乳糜漏多发生于左侧，可通过改进手术技术预防；保守治疗可使其完全缓解，效果满意。
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