위장관암에 대한 근치 수술 후 발생한 난치성 유미복막
Intractable Chyloperitoneum after Curative Surgery for Gastrointestinal Malignancy
최은서, 문성표, 민영돈, 김경종,
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최은서 ( Choi Eun-Seo )
조선대학교 의과대학 외과학교실
문성표 ( Mun Seong-Pyo )
조선대학교 의과대학 외과학교실
민영돈 ( Min Young-Don )
조선대학교 의과대학 외과학교실
김경종 ( Kim Kyung-Jong )
조선대학교 의과대학 외과학교실
KMID : 0371320040670060485
Abstract
Chyloperitoneum, also called chylous ascites, is a rarely reported complication of abdominal surgery. In most cases, the diagnosis and treatment is not difficult. The characteristic milky colored odorless fluid is easily detected by drainage or aspiration. With the help of diagnostic radiology and laboratory tests, it has become easier to detect the chyloperitoneum. Chyloperitoneum subsides spontaneously or responds well to medical treatment. Death from chyloperitoneum is extremely rare. However, 3 cases of medically intractable chyloperitoneum were encountered at our hospital after curative surgery for gastrointestinal malignancies (two colorectal cancers and one gastric cancer). Herein, the authors report these case and discuss their treatments. (J Korean Surg Soc 2004;67:485-489)
키워드
난치성 유미복막;위장관암;근치 수술;Intractable chyloperitoneum;Gastrointestinal malignancy;Curative surgery
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