Ha GW, Lee MR. Surgical repair of intractable chylous ascites following laparoscopic anterior resection. World J Gastroenterol 2015; 21(19): 6077-6081 [PMID: 26019476 DOI: 10.3748/wjg.v21.i19.6077]
Corresponding Author of This Article
Min Ro Lee, MD, PhD, Research Institute of Clinical Medicine, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 561-180, South Korea. gsminro@jbnu.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 21, 2015; 21(19): 6077-6081 Published online May 21, 2015. doi: 10.3748/wjg.v21.i19.6077
Surgical repair of intractable chylous ascites following laparoscopic anterior resection
Gi Won Ha, Min Ro Lee
Gi Won Ha, Min Ro Lee, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonbuk 561-180, South Korea
Author contributions: Lee MR performed the operation; Ha GW collected case data; Ha GW wrote the manuscript; Lee MR proofread and revised the manuscript; all authors approved the version to be published.
Ethics approval: The study was reviewed and approved as exemption by the Chonbuk National University Hospital Institutional Review Board.
Informed consent: Study participant provided informed written consent prior to study enrollment.
Conflict-of-interest: There are no potential conflicts of interest in this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Min Ro Lee, MD, PhD, Research Institute of Clinical Medicine, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 561-180, South Korea. gsminro@jbnu.ac.kr
Telephone: +82-63-2501570 Fax: +82-63-2716197
Received: November 29, 2014 Peer-review started: November 30, 2014 First decision: December 26, 2014 Revised: January 26, 2015 Accepted: February 13, 2015 Article in press: February 13, 2015 Published online: May 21, 2015 Processing time: 172 Days and 17.8 Hours
Abstract
Chylous ascites is the accumulation of a milk-like peritoneal fluid rich in triglycerides and it is an unusual complication following surgical treatment of colorectal cancer. Conservative management is usually sufficient in patients with chylous ascites after surgery. However, we describe a patient with intractable chylous ascites after laparoscopic anterior resection for sigmoid colon cancer who failed initial conservative treatment. This patient was successfully managed by surgery.
Core tip: Chylous ascites is unusual following surgical treatment of colorectal cancer. Postoperative chylous ascites is always difficult to manage, due to the consequences of the primary surgery and the constant loss of lymph. Although conservative management is usually sufficient in patients with chylous ascites after surgery, we describe a patient who experienced intractable chylous ascites after laparoscopic anterior resection for sigmoid colon cancer. This patient was successfully managed by surgery.
