[Two cases of chylous ascites after laparoscopic colorectal cancer surgery].

ABSTRACT

We report the cases of 2 patients in whom chylous ascites developed after laparoscopic colorectal cancer surgery. Case 1 involved a 64-year-old woman who underwent laparoscopic right hemicolectomy with D3 lymphadenectomy for transverse colon cancer. Chylous ascites occurred immediately after the resumption of oral food intake on postoperative day 3. The patient gradually recovered by undergoing immediate treatment and by consuming a low-fat diet. The drain was removed on postoperative day 8, and the patient experienced no adverse events thereafter. Case 2 involved an 80-year-old man who underwent laparoscopic high anterior resection with D2 lymphadenectomy for multiple sigmoid cancers. Chylous ascites occurred a day after the resumption of oral food intake on postoperative day 3; however, food intake was continued. Because of its small volume, the chylous ascites was easily drained on postoperative day 6. Most cases of chylous ascites after colorectal cancer surgery can be easily resolved. However, if involvement of a major lymph duct is suspected during surgery, it should be ligated or clipped.