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

Remarks on the Complexity of Signed k-Domination on Graphs

Read  full  paper  at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53574#.VMnXsCzQrzE Author(s)    Chuan-Min Lee 1 , Cheng-Chien Lo 1 , Rui-Xin Ye 2 , Xun Xu 2 , Xiao-Han Shi 2 , Jia-Ying Li 2 Affiliation(s) 1 Department of Computer and Communication Engineering, Ming Chuan University, The First American University in Asia, Taoyuan, Taiwan, Chinese Taipei . 2 Department of Electronic Information Engineering, Fuzhou University, Fuzhou, China . ABSTRACT This paper is motivated by the concept of the signed k-domination problem and dedicated to the complexity of the problem on graphs. For any fixed nonnegative integer k, we show that the signed k-domination problem is NP-complete for doubly chordal graphs. For strongly chordal graphs and distance-hereditary graphs, we show that the signed k-domination problem can be solved in polynomial time. We also show that the problem is linear-time solvable for trees, interval graphs, and chordal comparability graphs
发表评论
阅读全文

Dietary Fiber Content of Waterleaf (Talinum triangulare (Jacq.) Willd) Cultivated with Organic and Conventional Fertilization in Different SeasonsDietary Fiber Content of Waterleaf (Talinum triangulare (Jacq.) Willd) Cultivated with Organic and Conventional Fertilization in Different Seasons

Read  full  paper  at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53985#.VN21HizQrzE Author(s)  Nuri Andarwulan 1,2 , Didah Nur Faridah 1,2 , Yolanda Sylvia Prabekti 1 , Harum Fadhilatunnur 1 , Leo Mualim 3 , Sandra Arifin Aziz 3 , Luis Cisneros-Zevallos 4   Affiliation(s) 1 Department of Food Science and Technology, Bogor Agricultural University, Bogor, Indonesia . 2 Southeast Asian Food and Agricultural Science and Technology (SEAFAST) Center, Bogor Agricultural University, Bogor, Indonesia . 3 Department of Agronomy and Horticulture, Bogor Agricultural University, Bogor, Indonesia . 4 Department of Horticultural Sciences, Texas A&M University, College Station, USA . ABSTRACT Waterleaf ( Talinum triangulare (Jacq.) Willd has long been eaten in Indonesia as vegetable and the main parts consumed are leaves and young shoots. Waterleaf is sticky presumably due to its pectin content which is associated to dietary fiber. The dietary fiber which
发表评论
阅读全文