Lymphatic ascites following pelvic and paraaortic lymphadenectomy procedures for gynecologic malignancies

Chylous ascites following retroperitoneal lymphadenectomy in gynecologic malignancies: Incidence, risk factors and management

“…However, in gynecological practice, few large studies have focused on the incidence of postoperative chylous ascites. The incidence ranges from 0.17% to 4% in these studies [1,6,11,12]. Moreover, the incidences were separately calculated only for the pelvic lymphadenectomy and pelvic plus para-aortic lymphadenectomy groups in two of the aforementioned studies, which had reported rates of 0.32% and 4.08% in the para-aortic lymphadenectomy group and 0.077% and 0.35% in the pelvic lymphadenectomy group.…”

“…The median number of harvested PALNs was 7 (range, 2e30) for Han et al [11], 8 (range, 0e19) for Frey et al [1], and 26 (range, 8e54) for Tulunay et al [6]. A mean of 5.17 (range, 1e19) PALNs was harvested in a study by Zhao et al [12].…”

Chylous ascites treated by traditional Chinese herbal medicine: A case report and discussion

“…3,11 It is reported that 43-71% of patients would respond to conservative management and most of these cases could potentially be cured. 9,10,17 Surgery is a salvage option when conservative management fails or lymphatic channel leak is detected in operation with a response rate of 58-100%. 10,18 It is particularly recommended when leakage is sustained for more than 2 weeks, drainage volume reaches more than 1 l, even after 1 week, or the patient starts to experience metabolic complications.…”

Recurrent lymphatic ascites in a patient cured of cervical carcinoma

“…The cisterna chyli is an enlarged lymphatic vessel situated within the lumbar region; the location is the transition point between chylomicron rich and poor lymphatic fluid (Frey et al, 2012). When lymphatic fluid is encountered superior to the cisterna chyli, it is termed chylous and possesses a milky white appearance due to the high cholesterol content.…”

“…When lymphatic fluid is encountered superior to the cisterna chyli, it is termed chylous and possesses a milky white appearance due to the high cholesterol content. Conversely, when the fluid is distal to the transition point, the condition is classified as lymphatic; there is minimal cholesterol and the presentation is straw-colored or clear (Frey et al, 2012).…”