Chylorrhea complicating D2+a gastrectomy: review of the literature and clarification of terminology apropos one case.

Abstract

Ly m phatic complications leading to retention, accumulation or drainage of peritoneal fluid are frequently encountered following extended 1 or superextended lymphadenectomy for gastric cancer. 1 The vast majority of these drainages usually subsides spontaneously, but in some instances they can persist for long period of time causing significant morbidity. However, the classification, the terminology and the diagnostic criteria for these complications are confusingly used in the English literature causing misunderstandings and difficulties in the interpretation of the published results. We report a case of postopertive chylous leakage development following D2+ (#12) gastrectomy for gastric cancer and we review the literature.