Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0699790 (colon cancer)
 28,837 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

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.
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PMID:[Two cases of chylous ascites after laparoscopic colorectal cancer surgery]. 2439 72

Chylous ascites is the accumulation of a milk-like peritoneal fluid rich in triglycerides and it is an unusual complication following surgical treatment of colorectal cancer. Conservative management is usually sufficient in patients with chylous ascites after surgery. However, we describe a patient with intractable chylous ascites after laparoscopic anterior resection for sigmoid colon cancer who failed initial conservative treatment. This patient was successfully managed by surgery.
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PMID:Surgical repair of intractable chylous ascites following laparoscopic anterior resection. 2601 76