Chylous Ascites Following Laparoscopic Live Donor Nephrectomy: A New Improved Treatment Paradigm
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 2Surgery, Columbia University Medical Center, New York, NY
Meeting: 2019 American Transplant Congress
Abstract number: B267
Keywords: Triglycerides
Session Information
Session Name: Poster Session B: Kidney Living Donor: Quality and Selection
Session Type: Poster Session
Date: Sunday, June 2, 2019
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall C & D
*Purpose: To illustrate prompt, initial placement of a percutaneous drain is an alternative treatment of chylous ascites after laparoscopic live donor nephrectomy.
*Methods: We identified three patients at our institution since 2005 and one patient at another institution that developed chylous ascites after laparoscopic live donor nephrectomy. We reviewed the development and management of these patients. Our treatment approach to this serious complication evolved over time.
*Results: Our initial two patients were successfully treated with a combination of surgical intervention followed by drain placement, after the failure of conservative management. The latter two cases were successfully treated with prompt intra-abdominal drain placement, without dietary modifications. Our cohort challenges the standard of care for treatment of chylous ascites after laparoscopic live donor nephrectomy.
*Conclusions: We believe that prompt drain placement is a viable alternative to both conservative and reoperative management in the treatment of chylous ascites after laparoscopic live donor nephrectomy and should be considered as a reasonable first-line therapy
| Diagnostic Criteria | Donor A | Donor B | Donor C | Donor D | |
| Total Nucleated Cells (mg/dL) | >500 | 1365 | 4700 | 1437 | 8800 |
| % Lymphocytes | >50 | 98 | 86 | 69 | 97 |
| Triglycerides (mg/dL) | >110 | 640 | 1997 | 885 | 716 |
To cite this abstract in AMA style:
Dale L, Sandoval R, Ratner LE. Chylous Ascites Following Laparoscopic Live Donor Nephrectomy: A New Improved Treatment Paradigm [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/chylous-ascites-following-laparoscopic-live-donor-nephrectomy-a-new-improved-treatment-paradigm/. Accessed May 12, 2025.« Back to 2019 American Transplant Congress