https://scholars.lib.ntu.edu.tw/handle/123456789/477467
標題: | Chyle leakage after laparoscopic cholecystectomy for acute biliary pancreatitis: A case report | 作者: | Huang Y.-M. Chen J.-H. Liu S.-H. MING-TSAN LIN |
關鍵字: | Acute biliary pancreatitis; Chyle; Laparoscopic cholecystectomy; Lymphoscintigraphy | 公開日期: | 2009 | 卷: | 56 | 期: | 89 | 起(迄)頁: | 39-42 | 來源出版物: | Hepato-Gastroenterology | 摘要: | Chyle leakage is a rare complication after laparoscopic cholecystectomy, with only one such case being previously reported in the English literature. We report on a 69-year-old man who underwent laparoscopic cholecystectomy for acute biliary pancreatitis; a chylous effluent was draining from the drain tube 3 days postoperatively. The chyle leak resolved gradually with dietary manipulation. Subsequent lymphoscintigraphy revealed no sign of lymphatic leakage. According to reported studies, postoperative chyle leakage generally has a more favorable outcome than that of chyle leakage from other causes. Initial treatment should be conservative, with surgical intervention reserved for refractory cases. Both the severity of the chyle leak and lymphoscintigraphy helped to predict the outcome of conservative treatment. A recent episode of acute biliary pancreatitis may be a risk factor for the development of chyle leakage after laparoscopic cholecystectomy. ? H.G.E. Update Medical Publishing S.A., Athens-Stuttgart. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-64949098044&partnerID=40&md5=8eca17bd89066d4e379de46550eabb27 https://scholars.lib.ntu.edu.tw/handle/123456789/477467 |
ISSN: | 0172-6390 | SDG/關鍵字: | acute biliary pancreatitis; acute disease; aged; article; case report; cholecystectomy; chyle leakage; conservative treatment; diet therapy; disease severity; human; image analysis; lymphatic system disease; lymphoscintigraphy; male; outcome assessment; pancreatitis; postoperative complication; postoperative period; priority journal; prognosis; treatment indication; Acute Disease; Aged; Cholecystectomy, Laparoscopic; Chyle; Drainage; Humans; Male; Pancreatitis; Postoperative Complications |
顯示於: | 醫學系 |
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