Intranodal lymphangiography under microsurgery for refractory lymphatic ascites after pelvic lymphadenectomy

• DOI: 10.1016/j.gore.2024.101346
• Publication Date: 2024-02-18T22:44:47Z
• Authors: Shota Higami; Yusuke Tanaka; Daisuke Maeda; Hiroshi Yukimoto; Tomomi Ishii; Yasuhiko Shiki
• Keywords: Lymphatic vessel; Lipiodol; Lymphadenectomy

Lymphatic ascites is a postoperative complication of lymph node dissection. Most symptomatic cases improve with conservative treatments. However, optimal management strategies for intractable lymphatic remain controversial, and clinicians sometimes encounter that does not respond to management. We herein report case was successfully treated intranodal lymphangiography (LG) from inguinal nodes under microsurgery. A 56-year-old woman diagnosed stage II endometrial cancer underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic para-aortic lymphadenectomies. On day (POD) 13, the patient presented distention, diagnosed. Although lymphaticovenular anastomosis, her did resolve. Finally, LG region performed 2-cm incision made on each side region. Once were identified, 23-gauge needle inserted into lipiodol injected. Extravasation abdomen left lower confirmed. The course uneventful. gradually decreased disappeared within two weeks after LG.