Yokokawa Hideyuki, Katsube Takao, Miyazawa Miki, Nishiguchi Ryohei, Asaka Shinichi, Yamaguchi Kentaro, Murayama Minoru, Kuhara Kotaro, Usui Takebumi, Yokomizo Hajime, Yoshimatsu Kazuhiko, Shimakawa Takeshi, Shiozawa Shunichi
Department of Surgery, Tokyo Women's Medical University, Medical Center East, 2-1-10 Nishiogu, Arakawa, Tokyo, 116-8567 Japan.
Department of Surgery, Saitama-ken Saiseikai Kurihashi Hospital, 714-6 Koemon, Kuki, Saitama 349-1105 Japan.
Int Cancer Conf J. 2021 Jan 23;10(2):149-153. doi: 10.1007/s13691-021-00468-0. eCollection 2021 Apr.
A 61-year-old woman underwent laparoscopy-assisted distal gastrectomy (LADG) with extragastric lymph node dissection (D2). Two months later, she was readmitted to hospital to be treated for chylous ascites. Oral intake was discontinued and total parenteral nutrition started, but increasing body weight and decreasing serum albumin concentration was not controllable. Percutaneous transabdominal thoracic duct embolization (PTTDE) was performed on the 8th day after the readmission. Five days after PTTDE, oral intake was resumed. Seventeen days after PTTDE, the patient was discharged without recurrence of ascites. She has remained asymptomatic. We describe here the first patient with chylous ascites two months after LADG with D2 dissection for early gastric cancer who was successfully treated by PTTDE.
一名61岁女性接受了腹腔镜辅助远端胃癌切除术（LADG）并进行了胃外淋巴结清扫（D2）。两个月后，她再次入院接受乳糜性腹水治疗。停止经口摄入并开始全胃肠外营养，但体重增加和血清白蛋白浓度降低无法控制。再次入院第8天进行了经皮经腹胸导管栓塞术（PTTDE）。PTTDE术后5天恢复经口摄入。PTTDE术后17天，患者出院，腹水未复发。她一直无症状。我们在此描述了首例早期胃癌行LADG加D2清扫术后两个月出现乳糜性腹水并通过PTTDE成功治疗的患者。
