Journal of Urology 2020-May
Treatment of Chylous Ascites with Peritoneovenous Shunt (Denver Shunt) following Retroperitoneal Lymph Node Dissection in Patients with Urologic Malignancies: Update of Efficacy and Predictors of Complications.
يمكن للمستخدمين المسجلين فقط ترجمة المقالات
الدخول التسجيل فى الموقع
يتم حفظ الارتباط في الحافظة
الكلمات الدالة
نبذة مختصرة
RESULTS
Twenty patients were included in this study. Testicular cancer was the most common malignancy (85%). The mean number of days from surgery to detection of CA was 21 days (SD 15, range 4-65 days). Ascites permanently resolved after PVS in 18 patients (90%), leading to shunt removal in 17 patients (85%) between 46 and 481 days (mean 162, SD 141days). The mean serum albumin level increased 24% after shunt placement (mean 3.0±0.6g/dl before, 3.9±0.8g/dl after; p < 0.05). The most common complication was occlusion (30%). Relative risk of complications increased significantly when shunt placement was more than 70 days after surgery and in patients receiving more than 5 paracenteses before PVS placement (AR 0.71% vs 0.25%, RR 2.9, p<0.048 and AR 0.6% vs 0.125%, RR 4.8, p<0.04, respectively).