Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy

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Chylous ascites is a rare complication after right hemicolectomy with D3 extended mesenterectomy, often due to lymphatic injury during surgery.
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The incidence of chylous ascites after intestinal surgeries ranges from 1.0% to 11.8%, with limited data on rates following D3 extended mesenterectomy.
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A routine fat-reduced diet (FRD) was introduced postoperatively to mitigate the risk of chylous ascites in patients undergoing right colectomy.
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Preoperative 3D multi-detector computed tomography (MDCT) aids in safe D3 lymph node dissection by reconstructing vascular anatomy.
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The study evaluated patients from a clinical trial, focusing on the incidence of chylous ascites and the effectiveness of dietary interventions.

Langenbeck's Archives Of Surgery

by Elin Edda Seland Agustsdottir, Bojan V. Stimec, Tine Tveit Stroemmen, Ariba Ehsan Sheikh, Ilackiya Elaiyarajah, Jonas Christoffer Lindstroem, Dejan Ignjatovic
July 20, 2020

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