Two Cases of Chylous Ascites after Robot-Assisted Laparoscopic Gastrectomy
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- FUKUI Yasuhiro
- Department of Gastroenterological Surgery, Osaka City General Hospital
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- KUBO Naoshi
- Department of Gastroenterological Surgery, Osaka City General Hospital
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- SAKURAI Katsunobu
- Department of Gastroenterological Surgery, Osaka City General Hospital
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- KURODA Kenji
- Department of Gastroenterological Surgery, Osaka City General Hospital
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- HASEGAWA Tsuyoshi
- Department of Gastroenterological Surgery, Osaka City General Hospital
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- MAEDA Kiyoshi
- Department of Gastroenterological Surgery, Osaka City General Hospital
Bibliographic Information
- Other Title
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- 胃癌に対するロボット支援下胃切除後の難治性乳糜腹水の2例
- イガン ニ タイスル ロボット シエン カ イ セツジョ ゴ ノ ナンチセイニュウビフクスイ ノ 2レイ
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Abstract
<p>Case 1 was a 70-year-old woman who underwent robot-assisted proximal gastrectomy, D1 + lymph node dissection, and esophagogastrostomy for type 1 advanced gastric cancer of the upper anterior wall of the gastric corpus. The histopathological diagnosis was tub2, pT3, pN2, cM0, pStage IIIA. On the 6th day after surgery, open abdominal drainage was performed for anastomotic leakage at the gastro-esophagostomy. After the second operation, chylous ascites was discharged by the indwelling drain. Inguinal intranodal lymphangiography using lipiodol was performed, and the chylous ascites then decreased. Case 2 was a 40-year-old woman who underwent robot-assisted distal gastrectomy, D1 + lymph node dissection, and Roux-en-Y reconstruction for 0-IIc lesions of the lower anterior wall of the gastric corpus. The histopathological diagnosis showed por2, pT1b2, pN0, cM0, pStageIA. Open abdominal ligation of a lymphatic fistula was performed 44 days after the first operation because of intractable chylous ascites. After the operation, the amount of ascites decreased. Although there is no established treatment for chylous ascites after gastrectomy, it could start with conservative treatment, and if it is ineffective, lipiodol lymphangiography or surgery should be considered.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 83 (7), 1266-1272, 2022
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390013474494913408
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 032320368
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed