临床小儿外科杂志2012，Vol.11Issue(4)：247-250,4.DOI:10.3969/j.issn.1671-6353.2012.04.003
儿童腹部实体肿瘤术后乳糜腹的处理
Management to chylous ascite: complication after solid tumor resection in children.
潘伟华 1施诚仁 1吴晔明 1王俊 1王捍平 1严文波 1张弛 1周莹1
作者信息
- 1. 上海交通大学医学院附属新华医院儿外科,上海市,200092
- 折叠
摘要
Abstract
Objective Postoperative chylous ascites is a rare complication of retroperitoneal and peritoneal surgery that has a considerable morbidity. We review the pathogenesis and management of chylous ascites following surgical treatment of solid tumor in children. Methods We identified 11 children with chylous ascites after surgical treatment of solid tumor between June 2003 and Jun 2010,in Xinhua Hospital,Shanghai Jiaotong University, School of Medicine. Considering the whole 249 cases of solid abdominal tumor treated during this period, the incidence of chylous ascites after surgical treatment was 4. 4% . Results The interval between surgery and diagnosis of ascites ranged from 12 hours to 7days. They were successfully treated with conservative measures, total parenteral nutrition, strict fasting, abdominal drainage, and injection of somatostatin. Conclusions Chylous ascites after surgical treatment of pediatric solid tumor is related to the surgical ablation of retroperitoneal lymph. Conservative treatment with total parenteral nutrition, strict fasting, and abdominal drainage will remedy the problem in the majority of children.关键词
腹部肿瘤/外科手术/手术后并发症Key words
Abdominal Neoplasms/ Surgical Procedures, Operative/ Postoperative Complications
引用本文复制引用
潘伟华,施诚仁,吴晔明,王俊,王捍平,严文波,张弛,周莹..儿童腹部实体肿瘤术后乳糜腹的处理[J].临床小儿外科杂志,2012,11(4):247-250,4.
