跳至主要内容

Impact of Chylous Ascites on Colon Cancer in Laparoscopic Surgery

The number of colorectal cancer (CRC) patients has been increasing rapidly worldwide in recent decades. Curative resection is important, and major complications are well reported, including surgical site infection, pneumonia, pulmonary embolism, renal insufficiency, cerebrovascular accident and so on. Chylous ascites, a rare problem after colorectal cancer surgery, is defined as the extravasation of milky or creamy peritoneal fluid rich in triglycerides. In this paper, the authors aimed to investigate the epidemiology and risk factors of chylous ascites. 

The authors identified the cases of 913 consecutive patients who underwent surgery for colorectal cancer at the University Hospital between January 2005 and December 2016. The patients were 623 males and 390 females aged 28 - 90 years old (median 65 years old). The authors divided the patients into two groups: Group A, having chylous ascites (n = 8), and Group B, nonchylous ascites (n = 905). Then they compared the groups according to these factors: age, gender, body mass index, tumor location, T, N factor, stage, operation time, intra-operative bleeding, and duration of postoperative hospital stay.  

The results demonstrated that neither age, sex, tumor location, and body mass index nor number of lymph nodes were associated 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). 

In short, the present study showed that chylous ascites after laparoscopic colon surgery required longer hospital stays but could be managed by conservative treatment in all cases. And 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.


Article by Shinya Munakata, et al, from Juntendo University, Tokyo, Japan.

Full access: http://mrw.so/5gfQLq

Image by newslanes newslanes, from Flickr-cc.

评论

发表评论

此博客中的热门博文

Electron Spin and Proton Spin in the Hydrogen and Hydrogen-Like Atomic Systems

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52202#.VIj7tMnQrzE Author(s) Stanisław Olszewski * Affiliation(s) Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, Poland . ABSTRACT The mechanical angular momentum and magnetic moment of the electron and proton spin have been calculated semiclassically with the aid of the uncertainty principle for energy and time. The spin effects of both kinds of the elementary particles can be expressed in terms of similar formulae. The quantization of the spin motion has been done on the basis of the old quantum theory. It gives a quantum number n = 1/2 as the index of the spin state acceptable for both the electron and proton ...
发表评论
阅读全文

Incorporation of High-Altitude Balloon Experiment in High School Science Classrooms

High-altitude balloon is a balloon, filled usually with helium or hydrogen that ascends into an area called “near space” or stratosphere. The most common type of high-altitude balloons are weather balloons. Other purposes include use as a platform for experiments in the upper atmosphere. Modern balloons generally contain electronic equipment such as radio transmitters, cameras, or satellite navigation systems, such as GPS receivers. The mission of the High-Altitude Balloon Experiment (HABE) is to acquire supporting data, validate enabling technologies, and resolve critical acquisition, tracking, and pointing (ATP) and fire control issues in support of future space-based precision pointing experiments. The use of high-altitude balloons offers a relatively low-cost, low-vibration test platform, a recoverable and reusable payload, worldwide launch capability, and a 'near- space' emulation of the future space systems operational scenarios. More recently, several university...
1 条评论
阅读全文

An Empirical Study on Microbial Load and Acidity in Raw Milk Produced in Malayer and Nahavand Cities, Iran 2012

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=49618#.VBk-qVfHRK0 An Empirical Study on Microbial Load and Acidity in Raw Milk Produced in Malayer and Nahavand Cities, Iran 2012 Author(s) Mohammad Rezaei , Ali Asghar Behzadi , Ali Akbar Malekirad , Ahmad Fattahi , Mohamad Hadi Farahzadi , Mohammad Sarmadi , Hasan Mohammadi Aghamirlou , Reza Ali Fallahzadeh Affiliation(s) Department of Food Safety and Hygiene, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran . Department of Food Safety and Hygiene, School of Health, Yazd University of Medical Sciences, Yazd, Iran . Department of Biology, Payame Noor University, Tehran, Iran . Department of Occupational Health Engineering, School of Health, Shahid Sadoughi University of Medical Sci-ences, Yazd, Iran . Department...
发表评论
阅读全文