Postoperative Chylous Ascites in Gynecological Malignancies: Two Case Reports and a Literature Review.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.1155/2024/1810634

Xin Tan, GuoLin Luo, Guangdong Liao, Hong Liao

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引用次数: 0

Abstract

Aim: To explore the potential factors that influence the presentation and recovery of postoperative chylous ascites (CA) in gynecological malignancies.

Methods: We reported two cases of postoperative CA following gynecological surgery and reviewed the clinical features of 140 patients from 16 relevant papers. Patients' clinicopathological characteristics, surgical approach, and management were summarized. The onset and resolution times of postoperative CA in different groups were analyzed separately.

Results: The two patients in our report had recovery after conservative treatments. According to the literature review, the median time of onset of postoperative CA was 5 days (range, 0-75 days) after surgery. The median resolution time was 9 days (range, 2-90 days). Among patients, 87.14% of them had lymphadenectomy during gynecological surgeries, while 92.86% of the patients had resolution after conservative treatments.

Conclusions: Lymphadenectomy during surgery may be relevant to the postoperative CA. Conservative management could be the initial choice for postoperative CA treatment.

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妇科恶性肿瘤术后乳糜腹水：两个病例报告和文献综述。

目的：探讨影响妇科恶性肿瘤术后乳糜腹水（CA）的表现和恢复的潜在因素：我们报告了两例妇科手术后糜烂性腹水病例，并回顾了 16 篇相关论文中 140 例患者的临床特征。总结了患者的临床病理特征、手术方式和处理方法。分别分析了不同组别术后 CA 的发病和缓解时间：结果：我们报告中的两名患者经保守治疗后痊愈。根据文献回顾，术后 CA 的中位发病时间为术后 5 天（0-75 天）。中位缓解时间为 9 天（2-90 天）。其中，87.14%的患者在妇科手术中进行了淋巴腺切除，而92.86%的患者在保守治疗后症状得到缓解：结论：手术中的淋巴结切除可能与术后CA有关。结论：手术中的淋巴腺切除可能与术后 CA 有关，保守治疗可能是术后 CA 治疗的首选。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.