TY - JOUR
T1 - Chylous ascites requiring surgical intervention after donor nephrectomy
T2 - Case series and single center experience
AU - Aerts, J.
AU - Matas, A.
AU - Sutherland, D.
AU - Kandaswamy, R.
PY - 2010/1
Y1 - 2010/1
N2 - Chylous ascites as a result of laparoscopic donor nephrectomy (LDN) is a rare complication that carries significant morbidity, including severe protein-calorie malnutrition and an associated immunocompromised state. We report a patient who underwent hand-assisted left LDN and subsequently developed chylous ascites. He failed conservative therapy including low-fat diet with medium-chain triglycerides (LFD/MCT) and oral protein supplementation as well as strict NPO status with intravenous (IV) total parenteral nutrition (TPN) and subcutaneous (SQ) somatostatin analogue administration. Laparoscopic re-exploration and intracorporeal suture ligation and clipping of leaking lymph channels successfully sealed the chyle leak. We review the literature to date including diagnosis, incidence, management options, psychosocial aspects and clinical outcomes of chylous ascites after LDN.
AB - Chylous ascites as a result of laparoscopic donor nephrectomy (LDN) is a rare complication that carries significant morbidity, including severe protein-calorie malnutrition and an associated immunocompromised state. We report a patient who underwent hand-assisted left LDN and subsequently developed chylous ascites. He failed conservative therapy including low-fat diet with medium-chain triglycerides (LFD/MCT) and oral protein supplementation as well as strict NPO status with intravenous (IV) total parenteral nutrition (TPN) and subcutaneous (SQ) somatostatin analogue administration. Laparoscopic re-exploration and intracorporeal suture ligation and clipping of leaking lymph channels successfully sealed the chyle leak. We review the literature to date including diagnosis, incidence, management options, psychosocial aspects and clinical outcomes of chylous ascites after LDN.
KW - Chylous ascites
KW - Donor nephrectomy
KW - Living kidney donor complications
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U2 - 10.1111/j.1600-6143.2009.02883.x
DO - 10.1111/j.1600-6143.2009.02883.x
M3 - Article
C2 - 19958336
AN - SCOPUS:72549083565
SN - 1600-6135
VL - 10
SP - 124
EP - 128
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 1
ER -
