An Effective Case for Chyluria by Retroperitoneoscopic Lymphatic Disconnection
نویسندگان
چکیده
BACKGROUND Chyluria is a rare disease in Japan. Lymphatic disconnection is the most effective treatment for patients with Chyluria, and laparoscopic approach is performed as a minimally invasive technique. CASE PRESENTATION We present a case of a 40-year-old man who referred to our hospital because of recurrence of chyluria. Chyluria had continued for 20 years, and the patient had received retrograde instillations of silver nitrate three times. The patient underwent retroperitoneoscopic nephrolympholysis, and the chyluria disappeared immediately. One year after surgery, chyluria has not recurred. CONCLUSION We treated a patient with chyluria by performing retroperitoneoscopic lymphatic disconnection and this procedure is less invasive and easy to perform.
منابع مشابه
Intractable chyluria : experience of 314 cases in a single center in China
This study aimed to retrospectively evaluate the clinical outcomes of 317 patients with intractable chyluria and present our experience with conservative and surgical management of intractable chyluria by different approaches. From September 2004 to June 2013, 314 patients with chyluria (133 men and 181 women) were recruited at our center. Instillation of povidone iodine (0.2%) was used for 46 ...
متن کاملAB124. Modified retroperitoneoscopic renal pedicle lymphatic disconnection for intractable chyluria
INTRODUCTION To describe a modified retroperitoneoscopic renal pedicle lymphatic disconnection (MRRPLD) and to compare the efficacy and safety of MRRPLD with traditional retroperitoneoscopic renal pedicle lymphatic disconnection (RRPLD). TECHNICAL CONSIDERATIONS From September 2008 to July 2012, RRPLD and MRRPLD were performed respectively on 18 and 14 patients at our center. Comparison was c...
متن کاملLearning curve for retroperitoneoscopic renal pedicle lymphatic disconnection for intractable chyluria: a single surgeon's experience.
PURPOSE To evaluate the surgical experience and outcomes of retroperitoneoscopic renal pedicle lymphatic disconnection (RRPLD) and to define a learning curve for this minimally invasive technique to treat patients with intractable chyluria. MATERIALS AND METHODS We collected the clinical records of 40 consecutive patients who were selected for RRPLD of 42 renoureteral units between 2007 and 2...
متن کاملModified technique of renal pedicle lymphatic disconnection for chyluria through the laparoscopic surgery.
Fifteen cases of chyluria were diagnosed by Sudan staining test and the sides of chylous reflux were determined by cystoscopy. All patients underwent the modified laparoscopic technique. The operations had been successfully without unexpected injury. The postoperative urine chyle tests were negative in all patients. Recurrence developed in 1 patient during the follow-up. The modified technique ...
متن کامل[Chyluria treated with inguinal lymphangiovenous and lymph node-venous anastomosis: a case report].
Stripping and ligation of the renal lymphatics has been a standard operation for patients with chyluria in Japan. However, recently, inguinal lymph node-saphenous vein anastomosis and lymphangiovenous anastomosis in the spermatic cord or the lower limb are introduced as a microsurgical treatment of chyluria with good result from China. We present a case of 50-year-old female with chyluria, whic...
متن کامل