ArticleInternational journal of surgery case reports2018
Laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green: A case report.
Article in International journal of surgery case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Sequential imaging approach with lymphoscintigraphy and intraoperative indocyanine green lymphography for refractory chylous ascites in an infant: A case report.Radiology case reports · 2026Article
- Diagnostic Evaluation and Management of Idiopathic Chylous Ascites: A Report of a Surgical Case.Cureus · 2025Article
- Successful Treatment of a Refractory Lymphatic Fistula after Laparoscopic Para-Aortic Lymphadenectomy Using Dual Real-Time Lymphangiography with Indocyanine Green and a High-Fat Diet.Surgical case reports · 2025Article
- Successful outpatient conservative management of chyle leak after laparoscopic left hemicolectomy.Anales del sistema sanitario de Navarra · 2023Article
- Chylous ascites in colorectal surgery: A systematic review.World journal of gastrointestinal surgery · 2021Article
- Topical Application ofCancer management and research · 2021Article
- Milking the System: Dietary Therapy of Post-nephrectomy Chylous Ascites.Digestive diseases and sciences · 2019Article
- Laparoscopic surgical repair of refractory chylous ascites after laparoscopic anterior resection.Techniques in coloproctology · 2019Article
- Advancing Pediatric Surgery with Indocyanine Green: Nonhepatobiliary Applications and Outcomes.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPostoperative chylous ascites is a rare complication of colorectal surgery. Conservative management is usually effective in most cases of the postoperative chylous ascites. However, surgical intervention is performed for refractory cases. PRESENTATION OF CASE: A 31-year-old man with neuroendocrine carcinoma developed chylous ascites after laparoscopic descending colectomy with D3 lymphadenectomy. Conservative treatment including total parenteral nutrition and somatostatin analogue failed and surgical intervention via laparoscopy was performed for the refractory chylous ascites. Lymphatic leakage was detected at the upper part of the inferior mesenteric artery during the laparoscopic exploration and was reconfirmed by intraoperative indocyanine green injection with an infrared camera system. Moreover, we injected the ICG into the other sites of the lymphadenectomy performed and identified the lymphatic flow. We confirmed there was no other lymphatic leakage. The lesion was ligated and closed with fibrin glue. Five months after the surgical intervention, no symptom was noted. DISCUSSION: It is frequently difficult to detect the site of lymphatic leakage intraoperatively. Intraoperative indocyanine green injection is useful for detecting a lymphatic leakage site and especially making sure without other leakages. Additionally, laparoscopic surgery seems safe and effective for refractory chylous ascites.
conclusionwe reported successful laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green.
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