術前高脂肪食投与により傍大動脈リンパ節部位の乳糜漏を腹腔鏡下手術において確認、処置し得た卵巣癌の1例

抄録

  Chylous ascites due to lymphorrhea is one of the complications following abdominal oncologic surgery. Chylous ascites requires long-term treatment and leads to a delay in additional treatment. We tried to detect and prevent chylous ascites. A 46-year-old woman with endometrial cancer and ovarian cancer underwent laparoscopic pelvic lymph node dissection and para-aortic lymph node (b1) dissection. She was fed milk as a high-fat diet 3 hours before the surgery. We could successfully detected chyle leakage after b1 dissection and performed clipping.