Abstract:
OBJECTIVE:To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. MATERIALS AND METHODS:A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14.2 years; range, 26-61 years) who underwent LPA embolization for chylous ascites developing after retroperitoneal surgery involving the perirenal space (four donor nephrectomies, one partial nephrectomy, and one retroperitoneal lymphadenectomy). After placing a percutaneous drainage catheter into the LPA or adjacent lymphocele, embolization was performed by filling the LPA itself with a mixture of glue and Lipiodol (Guerbet). RESULTS:Daily drainage from percutaneously placed drains exceeded 300 mL/day despite medical and surgical treatment (volume: mean, 1173 ± 1098 mL; range, 305-2800 mL). Intranodal lymphangiography was performed in four of the six patients and revealed leakage in 2 patients. Percutaneous embolization of the LPA was successful in all patients using an NBCA and Lipiodol mixture in a ratio of 1:1-1:2 (volume: mean, 4.3 ± 1.1 mL; range, 3-6 mL). Chylous ascites was resolved and the drainage catheter was removed in all patients within 4 days after the procedure (mean, 2.0 ± 1.8 days; range, 0-4 days). No procedure-related complications or recurrence of chylous ascites occurred during a mean follow-up period of 37.3 months (range, 21.1-48.4 months). CONCLUSION:Glue embolization of LPA has the potential to be a feasible and effective treatment method for the management of chylous ascites after retroperitoneal surgery.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Kwon LM,Hur S,Jeong CW,Jae HJ,Chung JWdoi
10.3348/kjr.2020.0056subject
Has Abstractpub_date
2020-08-28 00:00:00eissn
1229-6929issn
2005-8330pii
21.e144pub_type
杂志文章abstract::The propensity score is defined as the probability of each individual study subject being assigned to a group of interest for comparison purposes. Propensity score adjustment is a method of ensuring an even distribution of confounders between groups, thereby increasing between group comparability. Propensity score ana...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.3348/kjr.2008.9.1.1
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pub_type: 杂志文章
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更新日期:2006-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 指南,杂志文章
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更新日期:2018-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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journal_title:Korean journal of radiology
pub_type: 已发布勘误
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.4.402
更新日期:2009-07-01 00:00:00
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journal_title:Korean journal of radiology
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doi:10.3348/kjr.2004.5.3.143
更新日期:2004-07-01 00:00:00
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pub_type: 杂志文章
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2011.12.5.588
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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更新日期:2016-09-01 00:00:00
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