Laparoscopic surgical repair of refractory chylous ascites after laparoscopic anterior resection

  • S. Y. Lee
  • S.-S. Yeom
  • C. H. Kim
  • Y. J. Kim
  • H. R. KimEmail author
Trick of the Trade


Chylous ascites, caused by surgical trauma to the major lymphatics, can occur after colorectal surgery, with incidence ranging from 1.0 to 6.6% [1, 2]. In our previous paper, we reported that chylous ascites occurred in 138 (4.7%) of 2,917 primary colorectal cancer patients who had surgical resection, and that shorter operative time and the number of harvested lymph nodes were independent risk factors for the development of chylous ascites [1]. All included patients with chylous ascites were medically managed successfully, and no patients needed surgical treatment [1]. However, in some cases refractory to conservative management, surgical intervention may be necessary [2]. Few papers have reported laparoscopic surgical repair for chylous ascites [3, 4].

We describe a patient with intractable chylous ascites refractory to medical treatment, who was successfully managed with surgical intervention. Our primary objective was to report techniques for the identification and...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the present study were in accordance with the ethical standards of the Trust and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was waived by our Institutional Review Board.


  1. 1.
    Lee SY, Kim CH, Kim YJ, Kim HR (2016) Chylous ascites after colorectal cancer surgery: risk factors and impact on short-term and long-term outcomes. Langenbecks Arch Surg 401:1171–1177CrossRefGoogle Scholar
  2. 2.
    Weniger M, D’Haese JG, Angele MK, Kleespies A, Werner J, Hartwig W (2016) Treatment options for chylous ascites after major abdominal surgery: a systematic review. Am J Surg 211:206–213CrossRefGoogle Scholar
  3. 3.
    Shimajiri H, Egi H, Yamamoto M, Kochi M, Mukai S, Ohdan H (2018) Laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green: a case report. Int J Surg Case Rep 49:149–152CrossRefGoogle Scholar
  4. 4.
    Liu J, Zhang H, Du Q, Yao S (2018) Successful laparoscopic treatment of chylous ascites after pelvic lymphadenectomy: a case report and peanut oil application. J Minim Invasive Gynecol 25:923–926CrossRefGoogle Scholar
  5. 5.
    Ha GW, Lee MR (2015) Surgical repair of intractable chylous ascites following laparoscopic anterior resection. World J Gastroenterol 21:6077–6081CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • S. Y. Lee
    • 1
  • S.-S. Yeom
    • 1
  • C. H. Kim
    • 1
  • Y. J. Kim
    • 1
  • H. R. Kim
    • 1
    Email author
  1. 1.Department of SurgeryChonnam National University Hwasun Hospital and Medical SchoolHwasunSouth Korea

Personalised recommendations