Abstract
Background: The aim of this study was to identify possible risk factors associated with chylous ascites after colorectal cancer surgery. Methods: Patients who underwent colorectal cancer resection were enrolled in this study. Data were compared between patients who developed chylous ascites and those who did not. Results: Chylous ascites was detected in 48 (6.6%) patients. There were significant differences between the groups with and without chylous ascites in terms of age (65.6 vs 61.6 years, P =.017), operator (5.0% vs 15.5%, P <.001), operative procedure based on tumor location (P =.041), operative time (206.0 vs 229.8 minutes, P =.045), and blood loss (78.1 vs 219.7 mL, P =.036). After subgroup analysis for right-sided colectomy and low anterior resection to compensate for the effects of the operative procedure, the differences in the operative time and blood loss were not significant. In most patients, chylous ascites was resolved with conservative management. Conclusions: Chylous ascites developed significantly more frequently in patients who underwent right-sided colectomy and in elderly patients. In addition, the incidence was also dependent on the operator. Conservative treatment was effective in most patients.
| Original language | English |
|---|---|
| Pages (from-to) | 555-559 |
| Number of pages | 5 |
| Journal | American Journal of Surgery |
| Volume | 206 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2013 Oct 1 |
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Keywords
- Chylous ascites
- Colorectal neoplasm
- Electrosurgical bipolar vessel sealer
- LigaSure
ASJC Scopus subject areas
- Surgery
Cite this
Incidence and risk factors of chylous ascites after colorectal cancer surgery. / Baek, Se-Jin; Kim, Seon Hahn; Kwak, Jung-Myun; Kim, Jin.
In: American Journal of Surgery, Vol. 206, No. 4, 01.10.2013, p. 555-559.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Incidence and risk factors of chylous ascites after colorectal cancer surgery
AU - Baek, Se-Jin
AU - Kim, Seon Hahn
AU - Kwak, Jung-Myun
AU - Kim, Jin
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Background: The aim of this study was to identify possible risk factors associated with chylous ascites after colorectal cancer surgery. Methods: Patients who underwent colorectal cancer resection were enrolled in this study. Data were compared between patients who developed chylous ascites and those who did not. Results: Chylous ascites was detected in 48 (6.6%) patients. There were significant differences between the groups with and without chylous ascites in terms of age (65.6 vs 61.6 years, P =.017), operator (5.0% vs 15.5%, P <.001), operative procedure based on tumor location (P =.041), operative time (206.0 vs 229.8 minutes, P =.045), and blood loss (78.1 vs 219.7 mL, P =.036). After subgroup analysis for right-sided colectomy and low anterior resection to compensate for the effects of the operative procedure, the differences in the operative time and blood loss were not significant. In most patients, chylous ascites was resolved with conservative management. Conclusions: Chylous ascites developed significantly more frequently in patients who underwent right-sided colectomy and in elderly patients. In addition, the incidence was also dependent on the operator. Conservative treatment was effective in most patients.
AB - Background: The aim of this study was to identify possible risk factors associated with chylous ascites after colorectal cancer surgery. Methods: Patients who underwent colorectal cancer resection were enrolled in this study. Data were compared between patients who developed chylous ascites and those who did not. Results: Chylous ascites was detected in 48 (6.6%) patients. There were significant differences between the groups with and without chylous ascites in terms of age (65.6 vs 61.6 years, P =.017), operator (5.0% vs 15.5%, P <.001), operative procedure based on tumor location (P =.041), operative time (206.0 vs 229.8 minutes, P =.045), and blood loss (78.1 vs 219.7 mL, P =.036). After subgroup analysis for right-sided colectomy and low anterior resection to compensate for the effects of the operative procedure, the differences in the operative time and blood loss were not significant. In most patients, chylous ascites was resolved with conservative management. Conclusions: Chylous ascites developed significantly more frequently in patients who underwent right-sided colectomy and in elderly patients. In addition, the incidence was also dependent on the operator. Conservative treatment was effective in most patients.
KW - Chylous ascites
KW - Colorectal neoplasm
KW - Electrosurgical bipolar vessel sealer
KW - LigaSure
UR - http://www.scopus.com/inward/record.url?scp=84885030789&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885030789&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.01.033
DO - 10.1016/j.amjsurg.2013.01.033
M3 - Article
C2 - 23856087
AN - SCOPUS:84885030789
VL - 206
SP - 555
EP - 559
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -