Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer

J. Baniel, Richard Foster, R. G. Rowland, Richard Bihrle, J. P. Donohue

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

Iatrogenic ascites is an uncommon complication of surgery of the retroperitoneum, the base of the mesentery or mediastinum. We treated 18 patients with chylous ascites occurring after retroperitoneal dissection for testicular cancer. Patients were diagnosed by paracentesis or on clinical grounds (increasing abdominal girth). Of interest, 6 patients underwent resection of the inferior vena cava as part of the procedure, and this appears to be a high risk group for this complication. Management options include dietary restriction of fat, administration of medium chain triglycerides and diuretics, hyperalimentation, peritoneovenous shunt or surgery. The majority of patients were managed successfully by dietary treatment.

Original languageEnglish
Pages (from-to)1422-1424
Number of pages3
JournalJournal of Urology
Volume150
Issue number5 I
StatePublished - 1993

Fingerprint

Chylous Ascites
Testicular Neoplasms
Lymph Node Excision
Peritoneovenous Shunt
Paracentesis
Mesentery
Dietary Fats
Mediastinum
Inferior Vena Cava
Diuretics
Ascites
Dissection
Triglycerides

Keywords

  • ascites
  • lymph node excision
  • testicular neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer. / Baniel, J.; Foster, Richard; Rowland, R. G.; Bihrle, Richard; Donohue, J. P.

In: Journal of Urology, Vol. 150, No. 5 I, 1993, p. 1422-1424.

Research output: Contribution to journalArticle

@article{1d1c53e5c016464a9412e6ec7559af94,
title = "Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer",
abstract = "Iatrogenic ascites is an uncommon complication of surgery of the retroperitoneum, the base of the mesentery or mediastinum. We treated 18 patients with chylous ascites occurring after retroperitoneal dissection for testicular cancer. Patients were diagnosed by paracentesis or on clinical grounds (increasing abdominal girth). Of interest, 6 patients underwent resection of the inferior vena cava as part of the procedure, and this appears to be a high risk group for this complication. Management options include dietary restriction of fat, administration of medium chain triglycerides and diuretics, hyperalimentation, peritoneovenous shunt or surgery. The majority of patients were managed successfully by dietary treatment.",
keywords = "ascites, lymph node excision, testicular neoplasms",
author = "J. Baniel and Richard Foster and Rowland, {R. G.} and Richard Bihrle and Donohue, {J. P.}",
year = "1993",
language = "English",
volume = "150",
pages = "1422--1424",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "5 I",

}

TY - JOUR

T1 - Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer

AU - Baniel, J.

AU - Foster, Richard

AU - Rowland, R. G.

AU - Bihrle, Richard

AU - Donohue, J. P.

PY - 1993

Y1 - 1993

N2 - Iatrogenic ascites is an uncommon complication of surgery of the retroperitoneum, the base of the mesentery or mediastinum. We treated 18 patients with chylous ascites occurring after retroperitoneal dissection for testicular cancer. Patients were diagnosed by paracentesis or on clinical grounds (increasing abdominal girth). Of interest, 6 patients underwent resection of the inferior vena cava as part of the procedure, and this appears to be a high risk group for this complication. Management options include dietary restriction of fat, administration of medium chain triglycerides and diuretics, hyperalimentation, peritoneovenous shunt or surgery. The majority of patients were managed successfully by dietary treatment.

AB - Iatrogenic ascites is an uncommon complication of surgery of the retroperitoneum, the base of the mesentery or mediastinum. We treated 18 patients with chylous ascites occurring after retroperitoneal dissection for testicular cancer. Patients were diagnosed by paracentesis or on clinical grounds (increasing abdominal girth). Of interest, 6 patients underwent resection of the inferior vena cava as part of the procedure, and this appears to be a high risk group for this complication. Management options include dietary restriction of fat, administration of medium chain triglycerides and diuretics, hyperalimentation, peritoneovenous shunt or surgery. The majority of patients were managed successfully by dietary treatment.

KW - ascites

KW - lymph node excision

KW - testicular neoplasms

UR - http://www.scopus.com/inward/record.url?scp=0027759151&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027759151&partnerID=8YFLogxK

M3 - Article

C2 - 8411415

AN - SCOPUS:0027759151

VL - 150

SP - 1422

EP - 1424

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 5 I

ER -