Conservative management of chylous leak after open radical nephrectomy in an adult patient: a case report and literature review

African Journal of Urology

Table 1 Summary of literature review of chylous ascites after open nephrectomy/nephroureterectomy for adult patient with malignancy

Author	Ciftci et al. [2]	Hsiao et al. [3]	Kobayashi et al. [4]	Shah et al. [5]	Leibovitch et al. [6]	Ferrandière et al. [7]	Ferrigni et al. [8]	Herz et al. [9]
Number of cases	1	1	1	1^a	1	1	1	1
Age	65	62	35	60	35	65	62	45
Gender	Male	Female	Male	Male	Female	Male	Male	Female
Side	Right	Left	Left	Right	Left	Left	Left	Right
Approach	Radical nephrectomy	Radical nephroureterectomy	Partial nephrectomy	Radical nephrectomy	Radical nephrectomy and inferior vena cava thrombectomy.	Radical nephrectomy	Radical nephrectomy inferior vena cava thrombectomy and en bloc partial left colectomy	Thoraco-abdominal nephrectomy
Lymphadenectomy	Yes	Yes	No information	Yes	Yes	No information	Yes	Yes
Pathology	RCC	UUTUC	RCC	RCC	RCC	RCC	RCC	RCC
Presentation	POD 4	POD 7	POD 2	POD 21	POD 8	POD 0	POD 6	POD 24
Diagnostic tool	Biochemical fluid analysis	CT scan and biochemical fluid analysis	CT scan and biochemical fluid analysis	CT scan and biochemical fluid analysis	CT scan and biochemical fluid analysis	Ultrasonography and biochemical fluid analysis	Biochemical fluid analysis	Paracentesis and biochemical fluid analysis
Management	Surgical after failure of conservative management	TPN	TPN + octreotide	Paracentesis + TPN + diuretics	Paracentesis, TPN, peritoneal drain, octreotide	TPN + octreotide	Diet modification	Paracentesis
Outcome	Resolved	Resolved	Resolved	Resolved	Resolved	Resolved	Resolved	Resolved

UUTUC upper urinary tract urothelial carcinoma; RCC renal cell carcinoma; POD postoperative day; CT computed tomography; TPN total parenteral nutrition
^aShah et al. mentioned other nine cases of chylous ascites after open nephrectomy without providing details [4]