The role of oral oil administration in displaying the chylous tubes and preventing chylous leakage in laparoscopic para‐aortic lymphadenectomy

Zhou, Guannan; Xin, Weijuan; Li, Xiaoqing; Zhang, Xuyin; Hua, Keqin; Ding, Jingxin

doi:10.1002/jso.25225

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The literature contains very few articles dealing with the prevention of chylous ascites. One of these recommends ingestion of sesame oil on the evening before surgery for better identification of large lymphatic vessels at surgery when performing pre-aortal lymphadenectomy, an area not an integral part of the intestinal lymph flow [ 13 ]. One can speculate that such a strategy would not be beneficial when operating in the central mesentery, since it could potentially lead to more frequent and voluminous chylous ascites.…”

Section: Discussionmentioning

confidence: 99%

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Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy

Agustsdottir

Štimec

Stroemmen

et al. 2020

Langenbecks Arch Surg

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Background We aim to find the incidence of chylous ascites in patients undergoing D3 extended mesenterectomy and evaluate if a routine fat-reduced diet (FRD) has a prophylactic effect. Methods Data from 138 patients included in a D3 extended mesenterectomy trial were collected prospectively. Surgical drains and biochemical testing of drain fluid were used to find the incidence of chylous ascites among the first 39 patients, and a prophylactic fat-reduced diet was then implemented in the next 99 patients as a prophylactic measure. Results In the first 39 patients, we found that 16 (41.0%) developed chylous ascites. After the fat-reduced diet was implemented, 1 (1.0%) of 99 patients developed chylous ascites. Drain discharge was 150 vs. 80 mL daily, respectively, and a regression analysis shows the average leakage in the group with fat-reduced diet was 105 mL/day less than in the patients with no dietary restrictions (p < 0.001). There were no significant differences in the rate of other complications (Fisher exact test, one-tailed p = 0.8845), and although there was a tendency to a shorter hospital stay when given a fat-reduced diet (7.3 ± 5.4 vs. 8.9 ± 4.9 days), the difference was not significant (p = 0.19). Conclusions Chylous ascites is a very common postoperative occurrence after right colectomy with extended D3 mesenterectomy and may be prevented using a routine fat-reduced diet.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy

Agustsdottir

Štimec

Stroemmen

et al. 2020

Langenbecks Arch Surg

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Risk factors and impact of chylous leak after laparoscopic surgery for gynecological malignancies

Liu,

Zhang,

Zhu

et al. 2024

Preprint

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Purpose :The goal of this retrospective study was to investigate the risk factors and impact for chylous leak after laparoscopic surgery for gynecological malignancies. Methods Data on 495 patients who underwent surgery for gynecologic malignancies in the Department of Gynecology, the Second Hospital of Shandong University from January 2018 to April 2022 were collected. The risk factors related to the occurrence of chylous leak were then analyzed statistically. Results : 394 patients underwent laparoscopic surgery and were divided into two groups according to the occurrence of chylous leak after surgery: 19 patients were in the case group,and 375 patients were in the control group. The incidence of chylous leak in this study was 4.82%. Univariate analysis showed preoperative anemia(p =0 .01)and enlarged lymph nodes (p = 0.008) as risk factors for chylous leak. Statistical analysis of postoperative factors between the two groups showed significantly increased length of hospitalization (p ＝0 .001) and hospitalization costs (p = 0.003), postoperative maximum temperature ( p < 0.001) maximum drain output (p < 0.001), and drainage tube days ( p < 0.001) in the case group compared with the control group. Multivariate binary logistic regression analysis showed that preoperative anemia (OR = 3.111, 95%CI = 1.081–8.953) was the risk factor for chylous leak. Conclusions The occurrence of chylous leakafter laparoscopic surgery for gynecological malignancies leads to prolonged hospital stay, increased medical costs. The possibility of chylous leak occurring after laparoscopic surgery for gynecological malignancies with preoperative anemia is high.

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The role of oral oil administration in displaying the chylous tubes and preventing chylous leakage in laparoscopic para‐aortic lymphadenectomy

Abstract: Preoperative oil administration is a feasible and effective method to display the chylous tubes and to prevent the chylous leakage in para-aortic lymphadenectomy.

Cited by 2 publications

References 21 publications

Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy

Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy

Risk factors and impact of chylous leak after laparoscopic surgery for gynecological malignancies

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