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External lymphatic fistula or chyloperitoneum after intra-abdominal lymphadenectomy may present challenging problems. In the absence of definite guidelines the choice of treatment is often empirical, with unpredictable effectiveness, and the reporting of new cases may broaden the available experience.We describe two cases. One patient had high-output external fistula (1300 mL/d) after para-aortic...
We report the case of an external lymphatic fistula that appeared through an abdominal drainage after laparoscopic resection of the rectum and sigmoid colon for cancer, with lymphadenectomy. There was no chylous ascites because of controlled external drainage. The fistula was managed conservatively by interruption of oral feeding and administration of total parenteral nutrition and subcutaneous...
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