腹腔镜左结肠切除术后乳糜漏的成功保守治疗。

Laura Rubio López, Silvia Benito Barbero, Javier Páramo Zunzunegui, Teresa Antón Bravo, Maria Moral Gonzalez
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引用次数: 0

摘要

乳糜漏是手术损伤后病理性乳糜外渗进入腹腔。这是结直肠手术中一种罕见的并发症。在大多数情况下,保守治疗是有效的,尽管它往往需要延长住院时间。我们提出的情况下,60岁的女性乳糜漏后腹腔镜左结肠切除术和完整的肠系膜切除谁接受成功的门诊保守管理。我们在查阅的文献中没有发现其他保守门诊治疗成功的病例。充分的门诊管理可以通过降低医院费用和提高患者的生活质量提供显著的益处,同时在有指征时保持开始辅助治疗的可能性。
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Successful outpatient conservative management of chyle leak after laparoscopic left hemicolectomy.

Chyle leak is a pathological extravasation of chyle into the peritoneal cavity after a surgical injury. It is an uncommon complication in colorectal surgery. In most cases, conservative treatment is effective, although it often entails prolonged hospital stays. We present the case of a 60-year-old female with chyle leak after laparoscopic left hemicolectomy with complete mesocolic excision who underwent successful outpatient conservative management. We found no other cases of successful conservative outpatient treatment in the consulted literature. Adequate outpatient management may provide significant benefits by reducing hospital costs and improving patient´s quality of life, while maintaining the possibility of starting adjuvant treatment if indicated.

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