Impact of Chylous Ascites on Colon Cancer in Laparoscopic Surgery

• 作者: Kazuhiro Sakamoto Kiichi Sugimoto Kumpei Honjo Kunihiko Nagakari Makoto Takahashi Masakazu Ouchi Masaya Kawai Shinya Munakata Yuichi Tomiki Yutaka Kojima
• 来源期刊: 肠胃病学期刊(英文)
• 学科: 医学
• 关键词: Chylous ASCITES COLON Cancer EPIDEMIOLOGY LAPAROSCOPIC SURGERY Risk Factor
• 年，卷（期）: 2018,（7）
• 页码范围: 269-274
• 页数: 6页
• 分类号: R73

摘要

Objectives: To investigate the epidemiology and risk factors of chylous ascites. Methods: We identified the cases of 913 consecutive patients who underwenturgery for colorectal cancerat our University Hospital between January 2005and December2016. We divided the patients into thosewith and those without chylous ascites and compared the two groups by age, gender, body mass index, tumor location, T, N factor, stage, operation time, intra-operative bleeding, and duration of postoperative hospital stay. Results: Chylous ascites developed in 8 of the 913 patients (0.8%). Neither age, sex, tumor location, and body mass indexnor number of lymph nodeswereassociated with postoperative chylous ascites. Ascites occurred significantly less frequently in the early stage of colorectal cancer than in the late stage (p = 0.04). There was no significant difference between the groups in operative factors, including operation time and blood loss. Postoperative hospital stays were longer in patients with chylous ascites (20.5 days) than in those without (11 days) (p = 0.02). Conclusions: Late stage was one of the risk factors for chylous ascites in the present study. Other risks, such as tumor location and blood loss,will vary from institution to institution.