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Intranodal Ultrasound-Guided Percutaneous Methylene Blue Injection for the Identification of Leakage Point during Laparoscopic Repair of Refractory Chylous Ascites after Laparoscopic Lymphadenectomy for Kidney Cancer

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dc.contributor.authorOtaola, Hugo
dc.contributor.authorVargas, Patricio
dc.contributor.authorHasson, Daniel
dc.contributor.authorOrvieto, Marcelo
dc.contributor.authorNiño, Carmen
dc.contributor.authorBermúdez, Hugo
dc.date.accessioned2023-06-08T17:25:08Z
dc.date.available2023-06-08T17:25:08Z
dc.date.issued2022
dc.description.abstractChylous ascites is an uncommon complication after surgery that can result in malnutrition and immunodeficiency. Therefore, surgical interventions are reserved for refractory patients, and the primary success factor for these interventions is locating the point of leakage, which is often tricky. We describe a case of a 56-year-old male with chylous ascites after laparoscopic radical nephrectomy and lumbo-aortic lymphadenectomy for kidney cancer. The patient was initially managed with dietary modifications and drainage placement. Afterward, lymphography with Lipiodol, percutaneous embolization of the leakage point, and total parenteral nutrition were established. Finally, the patient underwent laparoscopic repair after identifying the leakage point by injecting methylene blue through an inguinal node. Complete resolution was achieved, and no complications related to the procedure were recorded. Intranodal methylene blue injection can be an invaluable tool to identify the point of leakage in selected patients to improve the outcomes of surgical repair of refractory chylous ascites.
dc.identifier.citationOtaola-Arca H, Vargas P, Hasson D, Orvieto M, Niño-Taravilla C, Bermúdez H. Intranodal Ultrasound-Guided Percutaneous Methylene Blue Injection for the Identification of Leakage Point during Laparoscopic Repair of Refractory Chylous Ascites after Laparoscopic Lymphadenectomy for Kidney Cancer. Case Rep Urol. 2022 Nov 21;2022:3817554. doi:10.1155/2022/3817554
dc.identifier.doihttps://doi.org/10.1155/2022/3817554
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/7588
dc.language.isoen
dc.subjectKidney Cancer
dc.subjectIdentification of Leakage Point
dc.subjectLaparoscopic Repair
dc.titleIntranodal Ultrasound-Guided Percutaneous Methylene Blue Injection for the Identification of Leakage Point during Laparoscopic Repair of Refractory Chylous Ascites after Laparoscopic Lymphadenectomy for Kidney Cancer
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceCase reports in urology
dspace.entity.typePublication

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