Clinical Practice Guide: Management of Chylous Ascites After Retroperitoneal Lymph Node Dissection

Kenneth Chen; John Thng; Darren Ho; Nathan Lawrentschuk

doi:10.1016/j.euf.2024.05.005

Clinical Practice Guide: Management of Chylous Ascites After Retroperitoneal Lymph Node Dissection

Eur Urol Focus. 2024 May 13:S2405-4569(24)00067-1. doi: 10.1016/j.euf.2024.05.005. Online ahead of print.

Authors

Kenneth Chen¹, John Thng², Darren Ho², Nathan Lawrentschuk³

Affiliations

¹ Department of Urology, Singapore General Hospital, Singapore; Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore. Electronic address: kenneth.chen@singhealth.com.sg.
² Faculty of Medicine, National University of Singapore, Singapore.
³ Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia; Department of Surgery (Urology), Royal Melbourne Hospital, Melbourne, Australia; EJ Whitten Prostate Cancer Research Centre Epworth Hospital, Richmond, Victoria, Australia. Electronic address: lawrentschuk@gmail.com.

PMID: 38744565
DOI: 10.1016/j.euf.2024.05.005

Abstract

Chylous ascites is a rare but challenging complication after retroperitoneal lymph node dissection. Conservative management is successful in most cases, with percutaneous lymphangiography reserved for refractory instances. Surgical interventions are associated with high failure rates.