Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy

Chylous ascites (CA) is a known complication of retroperitoneal surgery. We are reporting the case of a 65-year-old male who underwent a robotic assisted laparoscopic (RAL) partial nephrectomy for a renal mass and subsequently developed CA. He was successfully treated with a low-fat diet and mainten...

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Main Authors: Daniel Roberson, Raju Chelluri, Alan J. Wein, Phillip Mucksavage
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020300954
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author Daniel Roberson
Raju Chelluri
Alan J. Wein
Phillip Mucksavage
author_facet Daniel Roberson
Raju Chelluri
Alan J. Wein
Phillip Mucksavage
author_sort Daniel Roberson
collection DOAJ
description Chylous ascites (CA) is a known complication of retroperitoneal surgery. We are reporting the case of a 65-year-old male who underwent a robotic assisted laparoscopic (RAL) partial nephrectomy for a renal mass and subsequently developed CA. He was successfully treated with a low-fat diet and maintenance of a surgical drain. To our knowledge, this is the first reported case of CA following right RAL partial nephrectomy. Current literature shows a significantly greater incidence of CA after left sided kidney surgery and with concurrent lymph node dissection. The majority of patients with this complication can be successfully managed without reoperation.
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spelling doaj.art-3f6b5cbb0cb34d7f8e96dd80c0b3a35f2022-12-21T21:03:45ZengElsevierUrology Case Reports2214-44202020-09-0132101207Chylous ascites following a right robotic assissted laparoscopic partial nephrectomyDaniel Roberson0Raju Chelluri1Alan J. Wein2Phillip Mucksavage3Division of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA; Corresponding author. Division of Urology, Department of Surgery, University of Pennsylvania Perelman Center for Advanced Medicine, West Pavilion, 3rd Floor 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.Division of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USADivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USADivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USAChylous ascites (CA) is a known complication of retroperitoneal surgery. We are reporting the case of a 65-year-old male who underwent a robotic assisted laparoscopic (RAL) partial nephrectomy for a renal mass and subsequently developed CA. He was successfully treated with a low-fat diet and maintenance of a surgical drain. To our knowledge, this is the first reported case of CA following right RAL partial nephrectomy. Current literature shows a significantly greater incidence of CA after left sided kidney surgery and with concurrent lymph node dissection. The majority of patients with this complication can be successfully managed without reoperation.http://www.sciencedirect.com/science/article/pii/S2214442020300954KidneyPost-operative complicationsPartial nephrectomyChylous ascites
spellingShingle Daniel Roberson
Raju Chelluri
Alan J. Wein
Phillip Mucksavage
Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
Urology Case Reports
Kidney
Post-operative complications
Partial nephrectomy
Chylous ascites
title Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
title_full Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
title_fullStr Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
title_full_unstemmed Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
title_short Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
title_sort chylous ascites following a right robotic assissted laparoscopic partial nephrectomy
topic Kidney
Post-operative complications
Partial nephrectomy
Chylous ascites
url http://www.sciencedirect.com/science/article/pii/S2214442020300954
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AT alanjwein chylousascitesfollowingarightroboticassisstedlaparoscopicpartialnephrectomy
AT phillipmucksavage chylousascitesfollowingarightroboticassisstedlaparoscopicpartialnephrectomy