Focusing on chylous ascites: a noteworthy complication after laparoscopic/robotic para-aortic lymphadenectomy in left-sided colorectal cancer in a high-volume single center.

ABSTRACT:

Background

This study aimed to evaluate the incidence, severity, and treatment modalities of chylous ascites after laparoscopic/robotic para-aortic lymph node (PALN) dissection for left-sided colorectal cancer (CRC).

Methods

A cohort of 143 patients who underwent laparoscopic PALN dissection for left-sided CRC were included. The least absolute shrinkage and selection operator (LASSO) and logistic regression analysis were performed to identify risk factors for the occurrence of chylous ascites.

Results

Chylous ascites occurred in 27 (18.8%) patients. Multivariate logistic regression analysis demonstrated that prognostic nutritional index (PNI ≤ 46, OR = 3.18, P = 0.03), use of indocyanine green (ICG) fluorescence imaging (OR = 2.92, P = 0.04), and number of total retri

SUBMITTER: Sun Y 

PROVIDER: S-EPMC11889067 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature