Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario de Móstoles. Móstoles. Madrid. España.
Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario de Móstoles. Móstoles. Madrid. España..
An Sist Sanit Navar. 2023 Nov 22;46(3):e1051. doi: 10.23938/ASSN.1051.
Chyle leak is a pathological extravasation of chyle into the peritoneal cavity after a surgical injury. It is an uncommon complication in colorectal surgery. In most cases, conservative treatment is effective, although it often entails prolonged hospital stays. We present the case of a 60-year-old female with chyle leak after laparoscopic left hemicolectomy with complete mesocolic excision who underwent successful outpatient conservative management. We found no other cases of successful conservative outpatient treatment in the consulted literature. Adequate outpatient management may provide significant benefits by reducing hospital costs and improving patient´s quality of life, while maintaining the possibility of starting adjuvant treatment if indicated.
乳糜漏是外科损伤后乳糜液渗透至腹腔的一种病理现象。它是结直肠手术后一种不常见的并发症。在大多数情况下,保守治疗是有效的,尽管这通常需要延长住院时间。我们报告了一例 60 岁女性患者,在腹腔镜左半结肠切除术伴完整结肠系膜切除术后发生乳糜漏,经成功的门诊保守治疗。我们在查阅的文献中没有发现其他成功的门诊保守治疗的病例。适当的门诊管理可能会带来显著的益处,包括降低住院费用和提高患者的生活质量,同时保持在需要时开始辅助治疗的可能性。