Lymphatic Chyle Duct Injury and Identification During Laparoscopic Sleeve Gastrectomy Preventing Postoperative Chylous Ascites

Ahmed Abokhozima; Mohamed H Zidan; Ahmed Abo Elmagd; Mohammed Alokl; Hashem Altabbaa; Mohamed Al Sayed; Aliaa Selim

doi:10.1007/s11695-024-07215-3

Lymphatic Chyle Duct Injury and Identification During Laparoscopic Sleeve Gastrectomy Preventing Postoperative Chylous Ascites

Obes Surg. 2024 May;34(5):1995-2000. doi: 10.1007/s11695-024-07215-3. Epub 2024 Apr 8.

Authors

Ahmed Abokhozima^{1

2}, Mohamed H Zidan^{3

4

5}, Ahmed Abo Elmagd^{1

6

2}, Mohammed Alokl^{1

2}, Hashem Altabbaa¹, Mohamed Al Sayed^{1

6}, Aliaa Selim^{1

2}

Affiliations

¹ Alexandria University, El-Shatby, 22 El-Guish Road, Alexandria, 21526, Alexandria, Egypt.
² Ekbal Hospital, 10 Hassan Amin Street, Alexandria, Egypt.
³ Alexandria University, El-Shatby, 22 El-Guish Road, Alexandria, 21526, Alexandria, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁴ Alexandria Main University Hospital, Al Mothaf, Al Mesallah Sharq, Al Attarin, Alexandria, 5372066, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁵ Ekbal Hospital, 10 Hassan Amin Street, Alexandria, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁶ Alexandria Main University Hospital, Al Mothaf, Al Mesallah Sharq, Al Attarin, Alexandria, 5372066, Egypt.

Abstract

We present a case of intraoperative detection of an iatrogenic chyle duct injury during laparoscopic sleeve gastrectomy. The chyle duct injury was identified and managed by ligature, preventing postoperative chylous ascites.

Keywords: Chyle duct injury; Chylous ascites; Laparoscopic sleeve gastrectomy; Lymphatic duct injury.

Publication types

Case Reports

MeSH terms

Chyle*
Chylous Ascites* / etiology
Chylous Ascites* / prevention & control
Gastrectomy / adverse effects
Humans
Laparoscopy* / adverse effects
Obesity, Morbid* / surgery